| Camacho Counseling Llc | |
|
10921 Xanadu St Commerce City CO 80022-6254 | |
| (970) 703-4678 | |
| Not Available |
| Full Name | Camacho Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 10921 Xanadu St, Commerce City, Colorado |
| Authorized Official Name and Position | Lourdes Janet Camacho (OWNER/THERAPIST) |
| Authorized Official Contact | 9707034678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camacho Counseling Llc 10921 Xanadu St Commerce City CO 80022-6254 Ph: (970) 703-4678 | Camacho Counseling Llc 10921 Xanadu St Commerce City CO 80022-6254 Ph: (970) 703-4678 |
| NPI Number | 1417790858 |
|---|---|
| Provider Enumeration Date | 06/14/2024 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/13/2024 |
| Medicare PECOS PAC ID | 4082159736 |
|---|---|
| Medicare Enrollment ID | O20240717003073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417790858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Lourdes Camacho |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386040160 PECOS PAC ID: 5991240640 Enrollment ID: I20240717003314 |
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