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NPI Code Detail

MEDICARE: WARRIOR TREE COUNSELING, LLC

MEDICARE: WARRIOR TREE COUNSELING, LLC
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1558960922
Entity Type Code : Organization
Provider Name (Legal Business Name) : WARRIOR TREE COUNSELING, LLC
Provider Business Mailing Address
First Line : PO BOX 495
Second Line :
City : PINE
State : CO
Zip : 80470-0495
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10791 KITTY DR STE A
Second Line :
City : CONIFER
State : CO
Zip : 80433-7748
Country : US
Telephone Number : 720-696-0398
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ALISON MELSON
Credential : LPC
Telephone Number : 720-375-4832
Provider Enumeration Date : 10/18/2020
Last Update Date : 02/04/2024

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