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NPI Code Detail

MEDICARE: CARLETA SCHWARTZ M.A.

MEDICARE: CARLETA SCHWARTZ M.A.
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 : 1720357320
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLETA SCHWARTZ M.A.
Provider Business Mailing Address
First Line : 711 BARNES AVE
Second Line :
City : LA JUNTA
State : CO
Zip : 81050-2138
Country : US
Telephone Number : 719-384-5446
Fax Number : 719-384-5672
Provider Business Practice Location Address
First Line : 3500 1ST ST S
Second Line :
City : LAMAR
State : CO
Zip : 81052-4327
Country : US
Telephone Number : 719-336-7501
Fax Number : 719-336-7453
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2011
Last Update Date : 12/28/2011

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