Collaborative Journeys, Pc | |
36533 County Road 153 Agate CO 80101-9614 | |
(720) 560-1450 | |
Not Available |
Full Name | Collaborative Journeys, Pc |
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Speciality | Psychologist - Clinical |
Location | 36533 County Road 153, Agate, Colorado |
Authorized Official Name and Position | Dianna Gwendolyn Ducote-sabey (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 7205601450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Collaborative Journeys, Pc 36533 County Road 153 Agate CO 80101-9614 Ph: (720) 560-1450 | Collaborative Journeys, Pc 36533 County Road 153 Agate CO 80101-9614 Ph: (720) 560-1450 |
NPI Number | 1760701742 |
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Provider Enumeration Date | 05/30/2010 |
Last Update Date | 04/26/2021 |
Certification Date | 04/26/2021 |
Identifier | Type | State | Issuer |
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1760701742 | NPI | - | NPPES |
11975042 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 2626 (Colorado) | Primary |