| Clear Blue Counseling Pllc | |
|
7282 Forrest Rd Warrenton VA 20187-4528 | |
| (201) 317-7099 | |
| Not Available |
| Full Name | Clear Blue Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 7282 Forrest Rd, Warrenton, Virginia |
| Authorized Official Name and Position | Candee Bergstrom (OWNER) |
| Authorized Official Contact | 2013177099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Blue Counseling Pllc 7282 Forrest Rd Warrenton VA 20187-4528 Ph: (201) 317-7099 | Clear Blue Counseling Pllc 7282 Forrest Rd Warrenton VA 20187-4528 Ph: (201) 317-7099 |
| NPI Number | 1053026096 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Medicare PECOS PAC ID | 5496112567 |
|---|---|
| Medicare Enrollment ID | O20230605002339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053026096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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