MEDICARE: VICTORIA HALPERN MA, 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
1	101Y00000X	Counselor	LPC.0017873	CO

General Provider Information

NPI Number	:	1932855566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA HALPERN MA, LPC

Provider Business Mailing Address
First Line	:	3340 S KENTON ST UNIT 6205
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80014-4928
Country	:	US
Telephone Number	:	602-481-1313
Fax Number	:

Provider Business Practice Location Address
First Line	:	3340 S KENTON ST UNIT 6205
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80014-4928
Country	:	US
Telephone Number	:	602-481-1313
Fax Number	:

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

Provider Enumeration Date	:	02/22/2022
Last Update Date	:	02/22/2022

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