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NPI Code Detail

MEDICARE: MR. MARK ALLAN NAGEL M.A., LMFT

MEDICARE:  MR. MARK ALLAN NAGEL  M.A., LMFT
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
1106H00000XMarriage & Family Therapist162CO

General Provider Information

NPI Number : 1700959657
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARK ALLAN NAGEL M.A., LMFT
Provider Business Mailing Address
First Line : 8670 WOLFF CT STE 130
Second Line :
City : WESTMINSTER
State : CO
Zip : 80031-3692
Country : US
Telephone Number : 303-668-1697
Fax Number : 303-430-5306
Provider Business Practice Location Address
First Line : 8670 WOLFF CT STE 130
Second Line :
City : WESTMINSTER
State : CO
Zip : 80031-3692
Country : US
Telephone Number : 303-668-1697
Fax Number : 303-430-5306
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 01/12/2010

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Directions to “ MR. MARK ALLAN NAGEL M.A., LMFT” Practice Location

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