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NPI Code Detail

MEDICARE: LUIS CALLE LPC

MEDICARE:   LUIS  CALLE  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 Counselor2792CO

General Provider Information

NPI Number : 1841305141
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS CALLE LPC
Provider Business Mailing Address
First Line : 13693 E ILIFF AVE
Second Line : OFFICE #220
City : DENVER
State : CO
Zip : 80014-6527
Country : US
Telephone Number : 720-351-0432
Fax Number : 720-208-0638
Provider Business Practice Location Address
First Line : 13693 E ILIFF AVE
Second Line : OFFICE #220
City : DENVER
State : CO
Zip : 80014-6527
Country : US
Telephone Number : 720-351-0432
Fax Number : 720-208-0638
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 02/06/2008

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Directions to “ LUIS CALLE LPC” Practice Location

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