MEDICARE: ANITA DURBEN 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	101YM0800X	Mental Health Counselor	22302	CO

General Provider Information

NPI Number	:	1902791692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA DURBEN LPC

Provider Business Mailing Address
First Line	:	1500 N GRANT ST STE C
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1859
Country	:	US
Telephone Number	:	720-432-0454
Fax Number	:

Provider Business Practice Location Address
First Line	:	3434 47TH ST STE 130
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80301-1802
Country	:	US
Telephone Number	:	720-432-0454
Fax Number	:

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

Provider Enumeration Date	:	06/11/2025
Last Update Date	:	07/02/2025

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Directions to “ ANITA DURBEN LPC” Practice Location

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