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NPI Code Detail

MEDICARE: RICHARD GHENT MA LPC

MEDICARE: RICHARD GHENT MA 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 Counselor788CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1788OTHERCOLPC

General Provider Information

NPI Number : 1750840443
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD GHENT MA LPC
Provider Business Mailing Address
First Line : 6856 PERRY PARK BLVD
Second Line :
City : LARKSPUR
State : CO
Zip : 80118-9709
Country : US
Telephone Number : 720-232-7333
Fax Number :
Provider Business Practice Location Address
First Line : 9364 TEDDY LN STE 204
Second Line :
City : LONE TREE
State : CO
Zip : 80124-2873
Country : US
Telephone Number : 720-232-7333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2019
Last Update Date : 03/13/2019

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