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NPI Code Detail

MEDICARE: STEVEN SCOTT TATE LPC

MEDICARE:   STEVEN SCOTT TATE  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
1101YM0800XMental Health Counselor1113CO

General Provider Information

NPI Number : 1780889311
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN SCOTT TATE LPC
Provider Business Mailing Address
First Line : 135 W SWALLOW RD
Second Line : B-5
City : FORT COLLINS
State : CO
Zip : 80525-2563
Country : US
Telephone Number : 970-484-5440
Fax Number :
Provider Business Practice Location Address
First Line : 135 W SWALLOW RD
Second Line : B-5
City : FORT COLLINS
State : CO
Zip : 80525-2563
Country : US
Telephone Number : 970-484-5440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 07/08/2007

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Directions to “ STEVEN SCOTT TATE LPC” Practice Location

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