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NPI Code Detail

MEDICARE: STEPHANIE KONTER COUNSELING LLC

MEDICARE: STEPHANIE KONTER 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1619698149
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEPHANIE KONTER COUNSELING LLC
Provider Business Mailing Address
First Line : 6343 W 120TH AVE STE 200
Second Line :
City : BROOMFIELD
State : CO
Zip : 80020-3701
Country : US
Telephone Number : 720-380-3564
Fax Number :
Provider Business Practice Location Address
First Line : 5701 N FLORIDA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33604-6913
Country : US
Telephone Number : 720-380-3564
Fax Number :
Authorized Official
Title or Position : CREDENTIALING
Name : DANI CRAWFORD
Credential :
Telephone Number : 970-573-7780
Provider Enumeration Date : 09/02/2022
Last Update Date : 09/14/2023

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