| Inside Out Counseling Pc | |
|
44 E Spaulding Ave Building 3, Suite 1 Pueblo West CO 81007-1668 | |
| (719) 250-9569 | |
| (719) 547-7869 |
| Full Name | Inside Out Counseling Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 44 E Spaulding Ave, Pueblo West, Colorado |
| Authorized Official Name and Position | John R Dengler (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7172509569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inside Out Counseling Pc Po Box 7567 Pueblo West CO 81007-0567 Ph: (719) 250-9569 | Inside Out Counseling Pc 44 E Spaulding Ave Building 3, Suite 1 Pueblo West CO 81007-1668 Ph: (719) 250-9569 |
| NPI Number | 1447475280 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 02/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447475280 | NPI | - | NPPES |
| 152760 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 991618 (Colorado) | Primary |
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