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NPI Code Detail

MEDICARE: BRITTANY KRISTEN DACUS CAS

MEDICARE:   BRITTANY KRISTEN DACUS  CAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorACC0021197CO

General Provider Information

NPI Number : 1366019374
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY KRISTEN DACUS CAS
Provider Business Mailing Address
First Line : 411 S CASCADE AVE STE 100
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-3811
Country : US
Telephone Number : 719-419-7959
Fax Number :
Provider Business Practice Location Address
First Line : 411 S CASCADE AVE STE 100
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-3811
Country : US
Telephone Number : 719-419-7959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2021
Last Update Date : 06/08/2021

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Directions to “ BRITTANY KRISTEN DACUS CAS” Practice Location

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