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NPI Code Detail

MEDICARE: CARL FRITZEN

MEDICARE: CARL FRITZEN
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
1101YP2500XProfessional CounselorLPCC.0016075CO
2171M00000XCase Manager/Care Coordinator
3101YP2500XProfessional CounselorLPC.0017861CO

General Provider Information

NPI Number : 1619389640
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARL FRITZEN
Provider Business Mailing Address
First Line : 15037 E LOUISIANA DR UNIT B
Second Line :
City : AURORA
State : CO
Zip : 80012-7752
Country : US
Telephone Number : 719-248-8880
Fax Number :
Provider Business Practice Location Address
First Line : 50 S STEELE ST STE 950
Second Line :
City : DENVER
State : CO
Zip : 80209-2843
Country : US
Telephone Number : 719-248-8880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2014
Last Update Date : 12/29/2021

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Directions to “ CARL FRITZEN ” Practice Location

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