Provider Demographics
NPI:1568648053
Name:MCMATH, JUDIE COLENE (MS BHRS)
Entity Type:Individual
Prefix:MS
First Name:JUDIE
Middle Name:COLENE
Last Name:MCMATH
Suffix:
Gender:F
Credentials:MS BHRS
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1810 S CORONA AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80905-7104
Mailing Address - Country:US
Mailing Address - Phone:719-302-0706
Mailing Address - Fax:
Practice Address - Street 1:1810 S CORONA AVE APT 202
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80905-7104
Practice Address - Country:US
Practice Address - Phone:719-302-0706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor