| Learning And Counseling Center, Pc | |
|
825 N Weber St Colorado Springs CO 80903-2918 | |
| (719) 471-7837 | |
| Not Available |
| Full Name | Learning And Counseling Center, Pc |
|---|---|
| Speciality | Counselor |
| Location | 825 N Weber St, Colorado Springs, Colorado |
| Authorized Official Name and Position | Stephen K Witty (OWNER) |
| Authorized Official Contact | 7194717837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Learning And Counseling Center, Pc 825 N Weber St Colorado Springs CO 80903-2918 Ph: (719) 471-7837 | Learning And Counseling Center, Pc 825 N Weber St Colorado Springs CO 80903-2918 Ph: (719) 471-7837 |
| NPI Number | 1275715641 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 01/20/2009 |
| Medicare PECOS PAC ID | 4587729462 |
|---|---|
| Medicare Enrollment ID | O20090209000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275715641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CO763 (Colorado) | Primary |
| Provider Name | Stephen Witty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912005638 PECOS PAC ID: 5890787683 Enrollment ID: I20090209000581 |
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