| Knudsen Counseling Educational And Business Services Llc | |
|
548 Front Street Fairplay CO 80440 | |
| (719) 960-4598 | |
| Not Available |
| Full Name | Knudsen Counseling Educational And Business Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 548 Front Street, Fairplay, Colorado |
| Authorized Official Name and Position | Nola Knudsen (DIRECTOR) |
| Authorized Official Contact | 7199604598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knudsen Counseling Educational And Business Services Llc Po Box 1344 Fairplay CO 80440-1344 Ph: (719) 960-4598 | Knudsen Counseling Educational And Business Services Llc 548 Front Street Fairplay CO 80440 Ph: (719) 960-4598 |
| NPI Number | 1518425206 |
|---|---|
| Provider Enumeration Date | 03/12/2019 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/28/2024 |
| Medicare PECOS PAC ID | 1153860630 |
|---|---|
| Medicare Enrollment ID | O20240828002510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518425206 | NPI | - | NPPES |
| Provider Name | Nola Wileen Knudsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881156636 PECOS PAC ID: 2062951544 Enrollment ID: I20240828002857 |
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