MEDICARE: DENVER LATINO COUNSELING

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-5531	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619240660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENVER LATINO COUNSELING

Provider Business Mailing Address
First Line	:	1301 S FLORENCE ST APT 1934
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-0001
Country	:	US
Telephone Number	:	720-276-9188
Fax Number	:

Provider Business Practice Location Address
First Line	:	662 GRANT ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-3507
Country	:	US
Telephone Number	:	720-276-9188
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	VANESSA RICHARDS
Credential	:
Telephone Number	:	720-276-9188

Provider Enumeration Date	:	02/21/2012
Last Update Date	:	02/21/2012

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Directions to “DENVER LATINO COUNSELING ” Practice Location

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