| Inner Journey Community Counseling | |
|
735 South Ave Grand Junction CO 81501-3639 | |
| (970) 242-1433 | |
| (970) 241-4379 |
| Full Name | Inner Journey Community Counseling |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 735 South Ave, Grand Junction, Colorado |
| Authorized Official Name and Position | Carol A Mulligan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9702421433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Journey Community Counseling 735 South Ave Grand Junction CO 81501-3639 Ph: (970) 242-1433 | Inner Journey Community Counseling 735 South Ave Grand Junction CO 81501-3639 Ph: (970) 242-1433 |
| NPI Number | 1023026119 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 11/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023026119 | NPI | - | NPPES |
| 55285082 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1521-01 (Colorado) | Primary |
| 302F00000X | Exclusive Provider Organization | 3570 (Colorado) | Secondary |
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