| Comanche Crossing Counseling Pc | |
|
685 Main St, 5-b Meeker CO 81641 | |
| (970) 878-9935 | |
| (970) 878-9970 |
| Full Name | Comanche Crossing Counseling Pc |
|---|---|
| Speciality | Social Worker |
| Location | 685 Main St, 5-b, Meeker, Colorado |
| Authorized Official Name and Position | Elena K. Mogensen (OWNER) |
| Authorized Official Contact | 9708789935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comanche Crossing Counseling Pc Po Box 777 Meeker CO 81641-0777 Ph: (970) 878-9935 | Comanche Crossing Counseling Pc 685 Main St, 5-b Meeker CO 81641 Ph: (970) 878-9935 |
| NPI Number | 1093148074 |
|---|---|
| Provider Enumeration Date | 08/14/2013 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Medicare PECOS PAC ID | 1052535325 |
|---|---|
| Medicare Enrollment ID | O20140804000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093148074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 988005 (Colorado) | Primary |
| Provider Name | Elena K Mogensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417135013 PECOS PAC ID: 5890728612 Enrollment ID: I20050913000678 |
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