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NPI Code Detail

MEDICARE: MR. BRUCE EDWARD MCDOWELL MA, LPC, CAC II

MEDICARE: MR. BRUCE EDWARD MCDOWELL MA, LPC, CAC II
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 Counselor3205CO

General Provider Information

NPI Number : 1659491793
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRUCE EDWARD MCDOWELL MA, LPC, CAC II
Provider Business Mailing Address
First Line : 4371 E 72ND AVE
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-1471
Country : US
Telephone Number : 303-853-3570
Fax Number : 303-289-6962
Provider Business Practice Location Address
First Line : 4371 E 72ND AVE
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-1471
Country : US
Telephone Number : 303-853-3570
Fax Number : 303-289-6962
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 07/08/2007

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