MEDICARE: EMILY ROSE RINGLE M.A.

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	101YM0800X	Mental Health Counselor	NLC.0104426	CO

General Provider Information

NPI Number	:	1790126936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY ROSE RINGLE M.A.

Provider Business Mailing Address
First Line	:	11001 W 120TH AVE STE 400
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-3493
Country	:	US
Telephone Number	:	720-372-3680
Fax Number	:	720-269-8206

Provider Business Practice Location Address
First Line	:	11001 W 120TH AVE STE 400
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-3493
Country	:	US
Telephone Number	:	303-617-2300
Fax Number	:	720-269-8206

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2013
Last Update Date	:	06/04/2021

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