| Grace Roots Counseling, P.l.l.c. | |
|
16035 Table Mountain Pkwy Golden CO 80403-1642 | |
| (303) 997-1459 | |
| Not Available |
| Full Name | Grace Roots Counseling, P.l.l.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 16035 Table Mountain Pkwy, Golden, Colorado |
| Authorized Official Name and Position | Katherine Khrestsov (OWNER) |
| Authorized Official Contact | 3039971459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Roots Counseling, P.l.l.c. 16035 Table Mountain Pkwy Golden CO 80403-1642 Ph: (303) 997-1459 | Grace Roots Counseling, P.l.l.c. 16035 Table Mountain Pkwy Golden CO 80403-1642 Ph: (303) 997-1459 |
| NPI Number | 1740992189 |
|---|---|
| Provider Enumeration Date | 12/16/2022 |
| Last Update Date | 12/16/2022 |
| Certification Date | 12/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740992189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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