MEDICARE: MRS. AMY JEAN STEVES M.A., L.P.C.

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	4926	CO

General Provider Information

NPI Number	:	1881030773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY JEAN STEVES M.A., L.P.C.

Provider Business Mailing Address
First Line	:	5344 LONGS PEAK ST
Second Line	:
City	:	BRIGHTON
State	:	CO
Zip	:	80601-5361
Country	:	US
Telephone Number	:	303-917-5504
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 LOGAN ST
Second Line	:	STE. 204
City	:	DENVER
State	:	CO
Zip	:	80203-3009
Country	:	US
Telephone Number	:	303-917-5504
Fax Number	:

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

Provider Enumeration Date	:	05/17/2013
Last Update Date	:	05/17/2013

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