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NPI Code Detail

MEDICARE: EMMA ELIZABETH WALLINGFORD

MEDICARE: EMMA ELIZABETH WALLINGFORD
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCO

General Provider Information

NPI Number : 1659182525
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA ELIZABETH WALLINGFORD
Provider Business Mailing Address
First Line : 1290 CHAMBERS RD
Second Line :
City : AURORA
State : CO
Zip : 80011-7117
Country : US
Telephone Number : 303-617-2300
Fax Number : 303-617-2344
Provider Business Practice Location Address
First Line : 1290 S POTOMAC ST
Second Line :
City : AURORA
State : CO
Zip : 80012-4524
Country : US
Telephone Number : 303-617-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2025
Last Update Date : 02/06/2026

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Directions to “ EMMA ELIZABETH WALLINGFORD ” Practice Location

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