| Becky Kusick, Ma, Lpc, Inc | |
|
80 Garden Ctr Ste 122 Broomfield CO 80020-1735 | |
| (303) 907-6499 | |
| (855) 812-8339 |
| Full Name | Becky Kusick, Ma, Lpc, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 80 Garden Ctr Ste 122, Broomfield, Colorado |
| Authorized Official Name and Position | Becky Kusick (OWNER) |
| Authorized Official Contact | 3039076499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Becky Kusick, Ma, Lpc, Inc Po Box 511 Broomfield CO 80038-0511 Ph: (303) 907-6499 | Becky Kusick, Ma, Lpc, Inc 80 Garden Ctr Ste 122 Broomfield CO 80020-1735 Ph: (303) 907-6499 |
| NPI Number | 1972681369 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/26/2020 |
| Certification Date | 08/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972681369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 799 (Colorado) | Primary |
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