Ms Jutharat Mccormack, LPC, RN, CAC III is a
Counselor - Addiction (substance Use Disorder) based in Denver, Colorado. Ms Jutharat Mccormack is licensed to practice in Colorado (license number 7138) and her current practice location is
2610 Stout St, Denver, Colorado. She can be reached at her office (for appointments etc.) via phone at
(303) 504-1200.
NPI number for Ms Jutharat Mccormack is 1720282155 and her current mailing address is 2610 Stout St, Denver, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720282155.
Provider's Profile
Full Name | Ms Jutharat Mccormack |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 2610 Stout St, Denver, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720282155
- Provider Enumeration Date: 06/11/2007
- Last Update Date: 07/16/2012
Medical Identifiers
Medical identifiers for Ms Jutharat Mccormack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720282155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 162465 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | 6391 (Colorado) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 7138 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jutharat Mccormack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Jutharat Mccormack, LPC, RN, CAC III 2610 Stout St, Denver, CO 80205-2941 Ph: (720) 341-8694 | Ms Jutharat Mccormack, LPC, RN, CAC III 2610 Stout St, Denver, CO 80205-2941 Ph: (303) 504-1200 |
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