Dr. Tara Gray Counseling & Wellness Inc | |
618 Mountain Village Blvd # 203c Mountain Village CO 81435-9541 | |
(970) 769-9472 | |
Not Available |
Full Name | Dr. Tara Gray Counseling & Wellness Inc |
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Speciality | Counselor - Professional |
Location | 618 Mountain Village Blvd # 203c, Mountain Village, Colorado |
Authorized Official Name and Position | Tara M Gray (DR./CEO) |
Authorized Official Contact | 9707699472 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr. Tara Gray Counseling & Wellness Inc Po Box 1393 Telluride CO 81435-1393 Ph: (970) 769-9472 | Dr. Tara Gray Counseling & Wellness Inc 618 Mountain Village Blvd # 203c Mountain Village CO 81435-9541 Ph: (970) 769-9472 |
NPI Number | 1972012490 |
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Provider Enumeration Date | 09/27/2017 |
Last Update Date | 05/23/2024 |
Certification Date | 05/23/2024 |
Identifier | Type | State | Issuer |
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1972012490 | NPI | - | NPPES |
1649637331 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | LPC.0012261 (Colorado) | Primary |