MEDICARE: MS. BARBARA L. COHEN 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
1	106H00000X	Marriage & Family Therapist	16	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	$$$$$$$$$	OTHER	CO	SOCIAL SECURITY NUMBER

General Provider Information

NPI Number	:	1467552018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA L. COHEN LMFT

Provider Business Mailing Address
First Line	:	204 WALNUT ST
Second Line	:	SUITE F
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-2485
Country	:	US
Telephone Number	:	970-221-0582
Fax Number	:	970-484-1911

Provider Business Practice Location Address
First Line	:	204 WALNUT ST
Second Line	:	SUITE F
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-2485
Country	:	US
Telephone Number	:	970-221-0582
Fax Number	:	970-484-1911

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2006
Last Update Date	:	05/21/2020

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