| Linda Mazuranic, Llc | |
|
938 Racine St Aurora CO 80011-6322 | |
| (573) 228-8665 | |
| Not Available |
| Full Name | Linda Mazuranic, Llc |
|---|---|
| Speciality | Counselor |
| Location | 938 Racine St, Aurora, Colorado |
| Authorized Official Name and Position | Linda Mazuranic (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5732288665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Mazuranic, Llc 938 Racine St Aurora CO 80011-6322 Ph: (573) 228-8665 | Linda Mazuranic, Llc 938 Racine St Aurora CO 80011-6322 Ph: (573) 228-8665 |
| NPI Number | 1588028211 |
|---|---|
| Provider Enumeration Date | 04/08/2016 |
| Last Update Date | 06/07/2023 |
| Certification Date | 06/07/2023 |
| Medicare PECOS PAC ID | 2769827393 |
|---|---|
| Medicare Enrollment ID | O20240305001800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588028211 | NPI | - | NPPES |
| 47800259 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC0011597 (Colorado) | Primary |
| Provider Name | Linda L Mazuranic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841615077 PECOS PAC ID: 3678918208 Enrollment ID: I20240305002018 |
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