MEDICARE: MS. MARGARET WAGNER UNDERWOOD LCPC

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	5123	CO
2	101YP2500X	Professional Counselor	LC5740	MD

Other Identifiers

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

General Provider Information

NPI Number	:	1932332095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARET WAGNER UNDERWOOD LCPC

Provider Business Mailing Address
First Line	:	8300 FAIRMOUNT DR
Second Line	:	MM103
City	:	DENVER
State	:	CO
Zip	:	80247-6527
Country	:	US
Telephone Number	:	303-564-8641
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 FAIRMOUNT DR
Second Line	:	MM103
City	:	DENVER
State	:	CO
Zip	:	80247-6527
Country	:	US
Telephone Number	:	303-564-8641
Fax Number	:

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

Provider Enumeration Date	:	08/24/2009
Last Update Date	:	06/20/2014

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