MEDICARE: SUSANA ALBADRI 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	:	1750271177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSANA ALBADRI LLC

Provider Business Mailing Address
First Line	:	4670 W NEVADA PL.
Second Line	:	UNIT A
City	:	DENVER
State	:	CO
Zip	:	80219-2674
Country	:	US
Telephone Number	:	720-446-8306
Fax Number	:

Provider Business Practice Location Address
First Line	:	4670 W NEVADA PL.
Second Line	:	UNIT A
City	:	DENVER
State	:	CO
Zip	:	80219-2674
Country	:	US
Telephone Number	:	720-936-6196
Fax Number	:

Authorized Official
Title or Position	:	LICENSE PROFESSIONAL COUNSELOR
Name	:	SUSANA ALBADRI
Credential	:	LPC
Telephone Number	:	720-446-8306

Provider Enumeration Date	:	07/07/2025
Last Update Date	:	12/17/2025

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