MEDICARE: ERIN CALVERT

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	0013984

General Provider Information

NPI Number	:	1821506395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN CALVERT

Provider Business Mailing Address
First Line	:	6901 S PIERCE ST STE 350
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80128-4554
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 S PIERCE ST STE 350
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80128-4554
Country	:	US
Telephone Number	:	303-801-7878
Fax Number	:

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

Provider Enumeration Date	:	01/17/2018
Last Update Date	:	01/17/2018

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