MEDICARE: MRS. IRENE MARIA HARRIS 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	1141	CO

General Provider Information

NPI Number	:	1912035262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. IRENE MARIA HARRIS M.A.,L.P.C.

Provider Business Mailing Address
First Line	:	3540 S POPLAR ST
Second Line	:	SUITE 202
City	:	DENVER
State	:	CO
Zip	:	80237-1360
Country	:	US
Telephone Number	:	303-757-0870
Fax Number	:

Provider Business Practice Location Address
First Line	:	3540 S POPLAR ST
Second Line	:	SUITE 202
City	:	DENVER
State	:	CO
Zip	:	80237-1360
Country	:	US
Telephone Number	:	303-757-0870
Fax Number	:

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

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	02/15/2026

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