Mr Eric Martyn Hansen, LPC: 0019254 | |
90 Madison St Ste 704, Denver, CO 80206-5416 | |
(602) 694-6313 | |
(866) 655-6996 |
Full Name | Mr Eric Martyn Hansen |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 90 Madison St Ste 704, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215623525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC.0019254 (Colorado) | Primary |
Entity Name | Queer Asterisk |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972001568 PECOS PAC ID: 1153750146 Enrollment ID: O20200326000056 |
Mailing Address | Practice Location Address |
---|---|
Mr Eric Martyn Hansen, LPC: 0019254 1196 N Grant St, Denver, CO 80203-2377 Ph: (720) 261-3990 | Mr Eric Martyn Hansen, LPC: 0019254 90 Madison St Ste 704, Denver, CO 80206-5416 Ph: (602) 694-6313 |
Ms. Leilani Tomo Blashill, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 Bannock St., Denver, CO 80204 Phone: 303-504-1700 Fax: 303-733-8239 | |
Ziphora Chaim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 S Broadway, Suite 100, Denver, CO 80209 Phone: 303-603-3020 | |
Keith Reid Kendall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 S Broadway, Ste 100, Denver, CO 80209 Phone: 303-603-3020 | |
Ronald J Meyer, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2130 Stout St, Denver, CO 80205 Phone: 303-312-9601 | |
Dwayne K Harris, CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1155 Cherokee St, Denver, CO 80204 Phone: 303-436-6000 | |
Amber L Surls, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8190 E 1st Ave, Suite 105, Denver, CO 80230 Phone: 303-731-8900 Fax: 303-367-7910 | |
Mrs. Lucia Divieste-severtson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1740 Marion St, Denver, CO 80218 Phone: 720-412-7858 |