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499 Vaughn St Aurora CO 80011-8550 | |
| (720) 933-3910 | |
| (866) 234-7181 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 499 Vaughn St, Aurora, Colorado |
| Authorized Official Name and Position | Carri Ann King (COUNSELOR/OWNER) |
| Authorized Official Contact | 7207475584 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2121 S Blackhawk St Ste 210 Aurora CO 80014-1490 Ph: (720) 933-3910 | 499 Vaughn St Aurora CO 80011-8550 Ph: (720) 933-3910 |
| NPI Number | 1225349384 |
|---|---|
| Provider Enumeration Date | 06/23/2010 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Medicare PECOS PAC ID | 3476094566 |
|---|---|
| Medicare Enrollment ID | O20240917000544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225349384 | NPI | - | NPPES |
| 53657233 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2755 (Colorado) | Primary |
| Provider Name | Carri A. King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639132509 PECOS PAC ID: 5294276382 Enrollment ID: I20240917000714 |
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