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NPI Code Detail

MEDICARE: JACQUELYN DIANE FILES MA, NCC, LPC

MEDICARE: JACQUELYN DIANE FILES MA, NCC, 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 Counselor0016935CO
2101YP2500XProfessional Counselor8168SC

General Provider Information

NPI Number : 1801536396
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELYN DIANE FILES MA, NCC, LPC
Provider Business Mailing Address
First Line : 5455 N UNION BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-2077
Country : US
Telephone Number : 719-308-5450
Fax Number :
Provider Business Practice Location Address
First Line : 5455 N UNION BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-2077
Country : US
Telephone Number : 719-308-5450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2022
Last Update Date : 03/24/2026

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