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NPI Code Detail

MEDICARE: JAMIE QUINN HIDALGO MA, LPC, ADDC

MEDICARE: JAMIE QUINN HIDALGO MA, LPC, ADDC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorADDC.0000312CO
2101YP2500XProfessional CounselorLPC.0012465CO

General Provider Information

NPI Number : 1477832749
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE QUINN HIDALGO MA, LPC, ADDC
Provider Business Mailing Address
First Line : 420 E 58TH AVE STE 210
Second Line :
City : DENVER
State : CO
Zip : 80216-1400
Country : US
Telephone Number : 720-937-9758
Fax Number :
Provider Business Practice Location Address
First Line : 420 E 58TH AVE STE 210
Second Line :
City : DENVER
State : CO
Zip : 80216-1400
Country : US
Telephone Number : 720-937-9758
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2011
Last Update Date : 10/24/2023

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