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NPI Code Detail

MEDICARE: HOLLY JANE HARES LPC

MEDICARE:   HOLLY JANE HARES  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 Counselor2395CO

General Provider Information

NPI Number : 1922116847
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY JANE HARES LPC
Provider Business Mailing Address
First Line : 677 GRANT ST
Second Line :
City : DENVER
State : CO
Zip : 80203-3506
Country : US
Telephone Number : 303-832-8911
Fax Number :
Provider Business Practice Location Address
First Line : 677 GRANT ST
Second Line :
City : DENVER
State : CO
Zip : 80203-3506
Country : US
Telephone Number : 303-832-8911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 07/08/2007

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Directions to “ HOLLY JANE HARES LPC” Practice Location

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