| Mr Edgar Carl De Van Iii, CAC II | |
|
615 Russell Ave, Walsenburg, CO 81089-2127 | |
| (719) 738-2076 | |
| Not Available |
| Full Name | Mr Edgar Carl De Van Iii |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 615 Russell Ave, Walsenburg, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215139019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6541 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edgar Carl De Van Iii, CAC II 206 W 3rd St, Walsenburg, CO 81089-1904 Ph: (719) 738-1082 | Mr Edgar Carl De Van Iii, CAC II 615 Russell Ave, Walsenburg, CO 81089-2127 Ph: (719) 738-2076 |
Eva Marie Benine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Russell Ave, Walsenburg, CO 81089 Phone: 719-738-2076 | |
Joan Maley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 Russell Ave, Walsenburg, CO 81089 Phone: 719-545-2746 Fax: 719-584-0119 | |
Mr. Paul Michael Brunner, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 538 Rugby Mines Rd, Walsenburg, CO 81089 Phone: 910-574-3515 | |
Heather Barnes, CAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Russell Ave, Walsenburg, CO 81089 Phone: 719-738-2076 | |
Dana Walsh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 Russell Ave, Walsenburg, CO 81089 Phone: 719-739-2386 Fax: 719-738-2021 | |
Ms. Sandra Dee Majors, LCSW, CACIII, Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 Russell Street, Walsenburg, CO 81089 Phone: 719-738-2386 Fax: 719-738-1066 |