Mor Comstock, LPC

Individual provider Active NPI Counselor · Fountain, CO

NPI 1760148951 · NPPES record last updated Nov 11, 2021

Key facts

NPI
1760148951
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
10847 Hidden Prairie Pkwy
Fountain, CO 80817-7258
Phone
(631) 478-3018
NPI assigned
Nov 11, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101Y00000X Yes

Addresses

Primary practice location

10847 Hidden Prairie Pkwy
Fountain, CO 80817-7258

Mailing address

10847 Hidden Prairie Pkwy
Fountain, CO 80817-7258

Other providers in Fountain, CO

All providers in Fountain, CO · Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.