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12000 Washington St Ste 325 Thornton CO 80241-3155 | |
| (303) 619-0927 | |
| (303) 759-3949 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12000 Washington St, Thornton, Colorado |
| Authorized Official Name and Position | Barbara Tyndall Mccubbin (OFFICER) |
| Authorized Official Contact | 3036190927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12000 Washington St Ste 325 Thornton CO 80241-3155 Ph: (303) 619-0927 | 12000 Washington St Ste 325 Thornton CO 80241-3155 Ph: (303) 619-0927 |
| NPI Number | 1366536054 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 04/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366536054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4070 (Colorado) | Primary |
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