| Ignite Counseling Colorado | |
|
400 S Mccaslin Blvd Ste 111 Superior CO 80027-9701 | |
| (303) 578-6336 | |
| Not Available |
| Full Name | Ignite Counseling Colorado |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 400 S Mccaslin Blvd Ste 111, Superior, Colorado |
| Authorized Official Name and Position | Carla D'agostino-vigil (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3035428338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ignite Counseling Colorado 400 S Mccaslin Blvd Ste 111 Superior CO 80027-9701 Ph: (303) 578-6336 | Ignite Counseling Colorado 400 S Mccaslin Blvd Ste 111 Superior CO 80027-9701 Ph: (303) 578-6336 |
| NPI Number | 1073290805 |
|---|---|
| Provider Enumeration Date | 07/03/2023 |
| Last Update Date | 07/03/2023 |
| Certification Date | 07/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073290805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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