Crystal River Counseling, Llc | |
11992 Ridge Pkwy Apt 304 Broomfield CO 80021-5154 | |
(303) 900-7897 | |
Not Available |
Full Name | Crystal River Counseling, Llc |
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Speciality | Social Worker |
Location | 11992 Ridge Pkwy Apt 304, Broomfield, Colorado |
Authorized Official Name and Position | Caleb Howald (THERAPIST) |
Authorized Official Contact | 3039007897 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Crystal River Counseling, Llc 11992 Ridge Pkwy Apt 304 Broomfield CO 80021-5154 Ph: (303) 900-7897 | Crystal River Counseling, Llc 11992 Ridge Pkwy Apt 304 Broomfield CO 80021-5154 Ph: (303) 900-7897 |
NPI Number | 1659000693 |
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Provider Enumeration Date | 06/06/2022 |
Last Update Date | 06/06/2022 |
Certification Date | 06/06/2022 |
Medicare PECOS PAC ID | 7911389291 |
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Medicare Enrollment ID | O20220803000806 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659000693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Caleb John Howald |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841715935 PECOS PAC ID: 9335566306 Enrollment ID: I20200924003201 |
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