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NPI Code Detail

MEDICARE: BARBARA JEAN WEGENER LPC

MEDICARE:   BARBARA JEAN WEGENER  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
1101Y00000XCounselorLPC 4208CO
2101YP2500XProfessional Counselor4208CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770665671
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA JEAN WEGENER LPC
Provider Business Mailing Address
First Line : 337 BLUE SPRUCE RD
Second Line :
City : DIVIDE
State : CO
Zip : 80814-7701
Country : US
Telephone Number : 719-396-4650
Fax Number : 720-465-2275
Provider Business Practice Location Address
First Line : 337 BLUE SPRUCE RD
Second Line :
City : DIVIDE
State : CO
Zip : 80814-7701
Country : US
Telephone Number : 719-396-4650
Fax Number : 720-465-2275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 03/26/2022

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Directions to “ BARBARA JEAN WEGENER LPC” Practice Location

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