Amanda Richardson, LPC | |
5901 Majestic St, Frederick, CO 80504-6933 | |
(970) 347-2126 | |
Not Available |
Full Name | Amanda Richardson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 5901 Majestic St, Frederick, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750817946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Colorado Permanente Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
Mailing Address | Practice Location Address |
---|---|
Amanda Richardson, LPC 5901 Majestic St, Frederick, CO 80504-6933 Ph: (970) 347-2126 | Amanda Richardson, LPC 5901 Majestic St, Frederick, CO 80504-6933 Ph: (970) 347-2126 |
Ms. Jacquelyn Patricia Harris, MA,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 616, Frederick, CO 80530 Phone: 720-314-8444 | |
Erin Daugherty, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5206 13th St, Frederick, CO 80504 Phone: 539-252-1298 | |
Nicole Lynn Simpson, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5479 Shoshone Dr, Frederick, CO 80504 Phone: 720-340-2367 | |
Mrs. Kristina L Coonce, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7403 Farmdale St, Frederick, CO 80530 Phone: 920-420-5575 | |
Luis Felipe Diaz, RP Counselor Medicare: Medicare Enrolled Practice Location: 5995 Iris Pkwy, Frederick, CO 80504 Phone: 303-697-2583 | |
Patricia Ann Carlson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5476 Caribou Dr, Frederick, CO 80504 Phone: 720-753-7996 | |
Lissette D Frederick, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5995 Iris Pkwy, Frederick, CO 80504 Phone: 303-697-2583 Fax: 303-833-6515 |