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NPI Code Detail

MEDICARE: HEIDI SCHNAKENBERG

MEDICARE: HEIDI SCHNAKENBERG
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.0011318CO

General Provider Information

NPI Number : 1932613783
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI SCHNAKENBERG
Provider Business Mailing Address
First Line : 610 PONY LN
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-3653
Country : US
Telephone Number : 303-517-9277
Fax Number :
Provider Business Practice Location Address
First Line : 525 E UINTAH ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-2514
Country : US
Telephone Number : 303-517-9277
Fax Number : 303-517-9277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2017
Last Update Date : 11/30/2017

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Directions to “ HEIDI SCHNAKENBERG ” Practice Location

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