MEDICARE: SHEENA BINDER 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
1	101YP2500X	Professional Counselor	2566	CO

General Provider Information

NPI Number	:	1881705101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEENA BINDER LPC

Provider Business Mailing Address
First Line	:	5324 SUNSET RIDGE DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917-4206
Country	:	US
Telephone Number	:	719-638-4642
Fax Number	:

Provider Business Practice Location Address
First Line	:	179 PARKSIDE DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80910-3130
Country	:	US
Telephone Number	:	719-572-6300
Fax Number	:	719-572-6399

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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Directions to “ SHEENA BINDER LPC” Practice Location

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