MEDICARE: CONEXION COUNSELING SERVICES LLC

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1750128369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONEXION COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	13693 E ILIFF AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-6527
Country	:	US
Telephone Number	:	720-449-1231
Fax Number	:

Provider Business Practice Location Address
First Line	:	13693 E ILIFF AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-6527
Country	:	US
Telephone Number	:	720-449-1231
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	ASHLEY K HAINES
Credential	:	LPC
Telephone Number	:	720-449-1231

Provider Enumeration Date	:	07/10/2024
Last Update Date	:	09/26/2024

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