| Colorado Plains Counseling, Llc | |
|
216 1st St Unit F Eaton CO 80615-3477 | |
| (970) 302-4667 | |
| Not Available |
| Full Name | Colorado Plains Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 216 1st St Unit F, Eaton, Colorado |
| Authorized Official Name and Position | Shakirah C Hemstrom (OWNER/OPERATOR) |
| Authorized Official Contact | 9703024667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Plains Counseling, Llc Po Box 1082 Ault CO 80610-1082 Ph: (970) 302-4667 | Colorado Plains Counseling, Llc 216 1st St Unit F Eaton CO 80615-3477 Ph: (970) 302-4667 |
| NPI Number | 1467466714 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 09/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467466714 | NPI | - | NPPES |
| 636875 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3704 (Colorado) | Primary |