Individual provider · Type 1 NPI
Jutharat McCormack, LPC, RN, CAC III
Addiction (Substance Use Disorder) Counselor · Denver, CO
NPI number
1720282155
Active
Practice location
2610 Stout St
Denver, CO 80205-2941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 162465 (CO) |
| Professional Counselor | 101YP2500X | 6391 (CO) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 7138 (CO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1720282155
Jutharat McCormack, LPC, RN, CAC III's National Provider Identifier is 1720282155, issued on Jun 11, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Denver, CO. The record was last updated on Jul 16, 2012.