MEDICARE: MS. MARGARET ELLEN KERRIGAN 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
1	101YP2500X	Professional Counselor	4323	CO

General Provider Information

NPI Number	:	1790831261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARET ELLEN KERRIGAN MA, LPC

Provider Business Mailing Address
First Line	:	10544 QUEEN ST
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80021-3544
Country	:	US
Telephone Number	:	720-635-7943
Fax Number	:	303-658-0125

Provider Business Practice Location Address
First Line	:	1333 W 120TH AVE STE 222
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-2710
Country	:	US
Telephone Number	:	720-635-7943
Fax Number	:	303-658-0125

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	06/21/2016

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