Bohique Counseling | |
12021 Pennsylvania St Ste 202 Thornton CO 80241-3152 | |
(720) 298-9391 | |
(844) 593-1511 |
Full Name | Bohique Counseling |
---|---|
Speciality | Counselor - Professional |
Location | 12021 Pennsylvania St Ste 202, Thornton, Colorado |
Authorized Official Name and Position | Dianelyris Melendez Ronda (COUNSELOR) |
Authorized Official Contact | 7202989391 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bohique Counseling 1312 17th St # 1344 Denver CO 80202-1508 Ph: (720) 298-9391 | Bohique Counseling 12021 Pennsylvania St Ste 202 Thornton CO 80241-3152 Ph: (720) 298-9391 |
NPI Number | 1548619620 |
---|---|
Provider Enumeration Date | 06/08/2016 |
Last Update Date | 11/03/2024 |
Certification Date | 11/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548619620 | NPI | - | NPPES |
1046651 | Medicaid | CO | |
05561816 | Medicaid | CO | |
29787521 | Medicaid | CO | |
70635048 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0011436 (Colorado) | Primary |
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