MEDICARE: CHLOE PAULSEN

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	101YM0800X	Mental Health Counselor	18066	NC

General Provider Information

NPI Number	:	1487393229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHLOE PAULSEN

Provider Business Mailing Address
First Line	:	1802 CHAPEL HILLS DR STE A
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3736
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19901 W CATAWBA AVE STE 102
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031-4040
Country	:	US
Telephone Number	:	855-675-4144
Fax Number	:	617-807-0958

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

Provider Enumeration Date	:	05/31/2022
Last Update Date	:	04/30/2025

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Directions to “ CHLOE PAULSEN ” Practice Location

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