| A New Light Counseling Llc | |
|
90 Madison St Ste 704 Denver CO 80206-5416 | |
| (440) 317-3779 | |
| Not Available |
| Full Name | A New Light Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 90 Madison St Ste 704, Denver, Colorado |
| Authorized Official Name and Position | Jeremy Anderson (OWNER) |
| Authorized Official Contact | 4403173779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Light Counseling Llc 90 Madison St Ste 704 Denver CO 80206-5416 Ph: (440) 317-3779 | A New Light Counseling Llc 90 Madison St Ste 704 Denver CO 80206-5416 Ph: (440) 317-3779 |
| NPI Number | 1154042380 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Medicare PECOS PAC ID | 5395287056 |
|---|---|
| Medicare Enrollment ID | O20240610001374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154042380 | NPI | - | NPPES |
| Provider Name | Jeremy Earle Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962168955 PECOS PAC ID: 6204378961 Enrollment ID: I20240610001604 |
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