| Krv Counseling Llc | |
|
134 W Main St Ste 12 Trinidad CO 81082-2600 | |
| (719) 859-2539 | |
| (719) 846-8772 |
| Full Name | Krv Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 134 W Main St Ste 12, Trinidad, Colorado |
| Authorized Official Name and Position | Kellie Rae Velasquez (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7198592539 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krv Counseling Llc 134 W Main St Ste 12 Trinidad CO 81082-2600 Ph: (719) 859-2539 | Krv Counseling Llc 134 W Main St Ste 12 Trinidad CO 81082-2600 Ph: (719) 859-2539 |
| NPI Number | 1821776204 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Medicare PECOS PAC ID | 8820442114 |
|---|---|
| Medicare Enrollment ID | O20231211001776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821776204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kellie Rae Velasquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548839061 PECOS PAC ID: 0648624932 Enrollment ID: I20231214000157 |
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