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NPI Code Detail

MEDICARE: CHRISTINE MCCUE CAS, QMAP

MEDICARE: CHRISTINE MCCUE CAS, QMAP
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) CounselorACC.0020991CO
2101YA0400XAddiction (Substance Use Disorder) CounselorACA.0007827CO

General Provider Information

NPI Number : 1598259905
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE MCCUE CAS, QMAP
Provider Business Mailing Address
First Line : 4856 INNOVATION DR STE B
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-5540
Country : US
Telephone Number : 970-494-4200
Fax Number :
Provider Business Practice Location Address
First Line : 700 CENTRE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-1842
Country : US
Telephone Number : 970-494-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2018
Last Update Date : 09/23/2020

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