| Alpine Counseling Llc | |
|
2502 Court St Pueblo CO 81003-2430 | |
| (719) 595-0020 | |
| (719) 542-1634 |
| Full Name | Alpine Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2502 Court St, Pueblo, Colorado |
| Authorized Official Name and Position | Gary L Nichols (CO-OWNER) |
| Authorized Official Contact | 7195950020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Counseling Llc 2502 Court St Pueblo CO 81003-2430 Ph: (719) 595-0020 | Alpine Counseling Llc 2502 Court St Pueblo CO 81003-2430 Ph: (719) 595-0020 |
| NPI Number | 1184650236 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 12/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184650236 | NPI | - | NPPES |
| 034147 | Medicaid | CO | |
| 035268 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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