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NPI Code Detail

MEDICARE: ISABELLA KEVORKIAN

MEDICARE: ISABELLA KEVORKIAN
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1598650731
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELLA KEVORKIAN
Provider Business Mailing Address
First Line : 1770 SECLUSION PT APT H
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-7960
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6710 S US HIGHWAY 85-87
Second Line :
City : FOUNTAIN
State : CO
Zip : 80817-1014
Country : US
Telephone Number : 719-388-3558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2025
Last Update Date : 06/10/2025

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Directions to “ ISABELLA KEVORKIAN ” Practice Location

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