Individual
MADISON LEIGH WAHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11059 E BETHANY DR, AURORA, CO 80014-2622
(303) 617-2300
(303) 617-2365
Mailing address
6760 W 19TH PL APT 107, LAKEWOOD, CO 80214-1471
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YJM881351597
BLUECROSS BLUESHIELD
NY
Enumeration date
07/01/2018
Last updated
07/01/2018
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