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NPI Code Detail

MEDICARE: EVIE PAUR MA, LPC, BCB

MEDICARE: EVIE PAUR MA, LPC, BCB
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
1101YP2500XProfessional Counselor3688CO

General Provider Information

NPI Number : 1386853927
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVIE PAUR MA, LPC, BCB
Provider Business Mailing Address
First Line : 311 MAPLETON AVE
Second Line :
City : BOULDER
State : CO
Zip : 80304-3979
Country : US
Telephone Number : 303-441-0422
Fax Number : 303-441-2163
Provider Business Practice Location Address
First Line : 311 MAPLETON AVE
Second Line :
City : BOULDER
State : CO
Zip : 80304-3979
Country : US
Telephone Number : 303-441-0422
Fax Number : 303-441-2163
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 01/04/2012

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Directions to “ EVIE PAUR MA, LPC, BCB” Practice Location

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