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NPI Code Detail

MEDICARE: MS. KAREN ELIZABETH ANDERSON FAGAN LPC

MEDICARE: MS. KAREN ELIZABETH ANDERSON FAGAN LPC
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 Counselor1686CO

General Provider Information

NPI Number : 1407078728
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN ELIZABETH ANDERSON FAGAN LPC
Provider Business Mailing Address
First Line : 2101 S BLACKHAWK ST STE 180
Second Line :
City : AURORA
State : CO
Zip : 80014-1475
Country : US
Telephone Number : 303-380-1858
Fax Number : 303-639-3224
Provider Business Practice Location Address
First Line : 2101 S BLACKHAWK ST STE 180
Second Line :
City : AURORA
State : CO
Zip : 80014-1475
Country : US
Telephone Number : 303-380-1858
Fax Number : 303-639-3224
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 10/28/2024

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