MEDICARE: RACHEL CAHN MA, 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
1	101YP2500X	Professional Counselor	LPC-5135	CO

General Provider Information

NPI Number	:	1477804276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL CAHN MA, LPC

Provider Business Mailing Address
First Line	:	948 NORTH ST STE 4
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80304-3385
Country	:	US
Telephone Number	:	303-818-7575
Fax Number	:

Provider Business Practice Location Address
First Line	:	948 NORTH ST STE 4
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80304-3385
Country	:	US
Telephone Number	:	303-818-7575
Fax Number	:

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

Provider Enumeration Date	:	09/20/2012
Last Update Date	:	08/25/2014

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