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NPI Code Detail

MEDICARE: ANDREW BRIMHALL M.A.

MEDICARE: ANDREW BRIMHALL M.A.
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1841685286
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW BRIMHALL M.A.
Provider Business Mailing Address
First Line : 1050 HOBBIT ST APT J73
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-1958
Country : US
Telephone Number : 970-691-5071
Fax Number :
Provider Business Practice Location Address
First Line : 151 W LAKE ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-4111
Country : US
Telephone Number : 970-491-5337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2015
Last Update Date : 07/21/2022

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