MEDICARE: RACHEL ANN COLE LPCC

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
2	101YP2500X	Professional Counselor	LPCC.0020219	CO

General Provider Information

NPI Number	:	1649042060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ANN COLE LPCC

Provider Business Mailing Address
First Line	:	1601 TABOR ST
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-2631
Country	:	US
Telephone Number	:	720-318-0158
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 TABOR ST
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-2631
Country	:	US
Telephone Number	:	720-318-0158
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2023
Last Update Date	:	10/30/2023

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Directions to “ RACHEL ANN COLE LPCC” Practice Location

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