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NPI Code Detail

MEDICARE: BONNIE BURBAN

MEDICARE: BONNIE BURBAN
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 CounselorLPC0023523CO

General Provider Information

NPI Number : 1851168595
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE BURBAN
Provider Business Mailing Address
First Line : 4856 INNOVATION DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-5539
Country : US
Telephone Number : 970-494-4200
Fax Number : 844-270-1824
Provider Business Practice Location Address
First Line : 1250 N WILSON AVE
Second Line :
City : LOVELAND
State : CO
Zip : 80537-4461
Country : US
Telephone Number : 970-494-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2023
Last Update Date : 03/16/2026

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Directions to “ BONNIE BURBAN ” Practice Location

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