MEDICARE: CENTUS COUNSELING AND CONSULTING

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	9558	CO

General Provider Information

NPI Number	:	1518095298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTUS COUNSELING AND CONSULTING

Provider Business Mailing Address
First Line	:	1385 S COLORADO BLVD # A210
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-3304
Country	:	US
Telephone Number	:	303-639-5240
Fax Number	:	303-639-5243

Provider Business Practice Location Address
First Line	:	1385 S COLORADO BLVD # A210
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-3304
Country	:	US
Telephone Number	:	303-639-5240
Fax Number	:	303-639-5243

Authorized Official
Title or Position	:	OFFICE ADMIN
Name	:	WENDY FELKER
Credential	:
Telephone Number	:	303-639-5240

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	08/07/2008

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Directions to “CENTUS COUNSELING AND CONSULTING ” Practice Location

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