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NPI Code Detail

MEDICARE: MISS SANDRA J PLOTNER LMFT

MEDICARE: MISS SANDRA J PLOTNER LMFT
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
1106H00000XMarriage & Family Therapist945CO

General Provider Information

NPI Number : 1417157470
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SANDRA J PLOTNER LMFT
Provider Business Mailing Address
First Line : 1527 E JACKSON ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-6514
Country : US
Telephone Number : 719-641-8805
Fax Number : 719-687-1479
Provider Business Practice Location Address
First Line : 1527 E JACKSON ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-6514
Country : US
Telephone Number : 719-641-8805
Fax Number : 719-687-1479
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2007
Last Update Date : 11/09/2024

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Directions to “ MISS SANDRA J PLOTNER LMFT” Practice Location

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