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NPI Code Detail

MEDICARE: KEVIN WRIGHT LPC

MEDICARE:   KEVIN  WRIGHT  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 CounselorLPC.0011807CO

General Provider Information

NPI Number : 1932553849
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN WRIGHT LPC
Provider Business Mailing Address
First Line : 7750 N UNION BLVD
Second Line : STE 202
City : COLORADO SPRINGS
State : CO
Zip : 80920-4051
Country : US
Telephone Number : 719-357-8957
Fax Number :
Provider Business Practice Location Address
First Line : 7750 N UNION BLVD
Second Line : STE 202
City : COLORADO SPRINGS
State : CO
Zip : 80920-4051
Country : US
Telephone Number : 719-357-8957
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2016
Last Update Date : 04/18/2016

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Directions to “ KEVIN WRIGHT LPC” Practice Location

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