MEDICARE: ESRA T. NUTKU-BILIR LPC

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	101YP2500X	Professional Counselor	LPC.0018978	CO

General Provider Information

NPI Number	:	1598323008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESRA T. NUTKU-BILIR LPC

Provider Business Mailing Address
First Line	:	3323 S BIRCH ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-7210
Country	:	US
Telephone Number	:	303-810-8131
Fax Number	:

Provider Business Practice Location Address
First Line	:	3323 S BIRCH ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-7210
Country	:	US
Telephone Number	:	303-810-8131
Fax Number	:

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

Provider Enumeration Date	:	05/30/2019
Last Update Date	:	01/09/2023

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