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NPI Code Detail

MEDICARE: KRISTEN WHEELER MA, NCC, LPC

MEDICARE: KRISTEN WHEELER MA, NCC, LPC
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
1101YP2500XProfessional CounselorLPC.0016317CO

General Provider Information

NPI Number : 1740913888
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN WHEELER MA, NCC, LPC
Provider Business Mailing Address
First Line : 3595 S TELLER ST STE 200
Second Line :
City : LAKEWOOD
State : CO
Zip : 80235-2010
Country : US
Telephone Number : 720-713-0587
Fax Number :
Provider Business Practice Location Address
First Line : 3595 S TELLER ST STE 200
Second Line :
City : LAKEWOOD
State : CO
Zip : 80235-2010
Country : US
Telephone Number : 720-713-0587
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2022
Last Update Date : 01/31/2025

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