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NPI Code Detail

MEDICARE: GREGORY L SIMS LPC

MEDICARE: GREGORY L SIMS 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 Counselor609CO

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 : 1821008475
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY L SIMS LPC
Provider Business Mailing Address
First Line : PO BOX 7379
Second Line :
City : PUEBLO
State : CO
Zip : 81007-0379
Country : US
Telephone Number : 719-647-9930
Fax Number : 719-297-4619
Provider Business Practice Location Address
First Line : 19 E ABARR DR
Second Line :
City : PUEBLO
State : CO
Zip : 81007-5436
Country : US
Telephone Number : 719-647-9930
Fax Number : 719-297-4619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 10/30/2016

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