| Essential Counseling Services, Pllc | |
|
3915 Outlook Blvd Ste B2 Pueblo CO 81008-2604 | |
| (719) 569-5653 | |
| Not Available |
| Full Name | Essential Counseling Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3915 Outlook Blvd Ste B2, Pueblo, Colorado |
| Authorized Official Name and Position | Jade Monique Mixon (OWNER/THERAPIST) |
| Authorized Official Contact | 7195695653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Counseling Services, Pllc 1058 S Avenida Del Oro E Pueblo West CO 81007-2072 Ph: (719) 569-5653 | Essential Counseling Services, Pllc 3915 Outlook Blvd Ste B2 Pueblo CO 81008-2604 Ph: (719) 569-5653 |
| NPI Number | 1336785294 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 02/05/2020 |
| Certification Date | 02/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336785294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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