| Eagle Valley Counseling Llc | |
|
275 Main St Suite 208 Edwards CO 81632-7805 | |
| (970) 926-8196 | |
| (970) 926-8438 |
| Full Name | Eagle Valley Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 275 Main St, Edwards, Colorado |
| Authorized Official Name and Position | Michael John Gahagan (OWNER/DIRECTOR) |
| Authorized Official Contact | 9709268196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Valley Counseling Llc 275 Main St Suite 208 Edwards CO 81632-7805 Ph: (970) 926-8196 | Eagle Valley Counseling Llc 275 Main St Suite 208 Edwards CO 81632-7805 Ph: (970) 926-8196 |
| NPI Number | 1306004585 |
|---|---|
| Provider Enumeration Date | 05/24/2008 |
| Last Update Date | 05/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306004585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1803 (Colorado) | Primary |
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