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NPI Code Detail

MEDICARE: SARAH JEN BRUTSCHER LPC

MEDICARE:   SARAH JEN BRUTSCHER  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.0016017CO

General Provider Information

NPI Number : 1942957642
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH JEN BRUTSCHER LPC
Provider Business Mailing Address
First Line : 1309 W MYRTLE ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80521-3408
Country : US
Telephone Number : 970-988-5949
Fax Number :
Provider Business Practice Location Address
First Line : 1309 W MYRTLE ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80521-3408
Country : US
Telephone Number : 970-988-5949
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2022
Last Update Date : 03/03/2022

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Directions to “ SARAH JEN BRUTSCHER LPC” Practice Location

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