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NPI Code Detail

MEDICARE: STARLA QUINN LPC

MEDICARE: STARLA QUINN 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
1101YM0800XMental Health CounselorLPC-1741CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922126846
Entity Type Code : Individual
Provider Name (Legal Business Name) : STARLA QUINN LPC
Provider Business Mailing Address
First Line : 421 ZANG ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-1052
Country : US
Telephone Number : 303-989-4357
Fax Number : 303-988-2017
Provider Business Practice Location Address
First Line : 421 ZANG ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-1052
Country : US
Telephone Number : 303-989-4357
Fax Number : 303-988-2017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 08/05/2009

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Directions to “ STARLA QUINN LPC” Practice Location

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