| Counseling Services Of Longmont | |
|
1129 Francis St Longmont CO 80501-3703 | |
| (303) 772-3853 | |
| (303) 772-1718 |
| Full Name | Counseling Services Of Longmont |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1129 Francis St, Longmont, Colorado |
| Authorized Official Name and Position | Jimmy De Herrera (OWNER) |
| Authorized Official Contact | 3037723853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Services Of Longmont 1129 Francis St Longmont CO 80501-3703 Ph: (303) 772-3853 | Counseling Services Of Longmont 1129 Francis St Longmont CO 80501-3703 Ph: (303) 772-3853 |
| NPI Number | 1609224690 |
|---|---|
| Provider Enumeration Date | 05/31/2016 |
| Last Update Date | 05/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609224690 | NPI | - | NPPES |
| 1598112112 | Medicaid | CO | |
| 1710104112 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 178800 (Colorado) | Primary |
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