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NPI Code Detail

MEDICARE: MARSHA EVANS LPC

MEDICARE: MARSHA EVANS 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 Counselor
2101YP2500XProfessional Counselor0012139CO

General Provider Information

NPI Number : 1902200637
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSHA EVANS LPC
Provider Business Mailing Address
First Line : 2460 W 26TH AVE STE 30C
Second Line :
City : DENVER
State : CO
Zip : 80211-5340
Country : US
Telephone Number : 720-306-1383
Fax Number :
Provider Business Practice Location Address
First Line : 2460 W 26TH AVE STE 30C
Second Line :
City : DENVER
State : CO
Zip : 80211-5340
Country : US
Telephone Number : 720-306-1383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2014
Last Update Date : 04/20/2021

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Directions to “ MARSHA EVANS LPC” Practice Location

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