MEDICARE: NANCY SIEVER COUNSELING, LLC

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	5746	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	:	1619409356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NANCY SIEVER COUNSELING, LLC

Provider Business Mailing Address
First Line	:	1646 VICKERS DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-8123
Country	:	US
Telephone Number	:	719-685-6631
Fax Number	:	719-268-0435

Provider Business Practice Location Address
First Line	:	1646 VICKERS DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-8123
Country	:	US
Telephone Number	:	719-685-6631
Fax Number	:	719-268-0435

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	NANCY SIEVER
Credential	:	MA
Telephone Number	:	719-685-6631

Provider Enumeration Date	:	03/31/2017
Last Update Date	:	05/05/2017

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