Luna Counseling, Llc | |
191 East Agate Ave. Granby CO 80446 | |
(970) 531-6173 | |
(970) 887-2293 |
Full Name | Luna Counseling, Llc |
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Speciality | Community/behavioral Health |
Location | 191 East Agate Ave., Granby, Colorado |
Authorized Official Name and Position | Andrew Thomasson (PROGRAM DIRECTOR) |
Authorized Official Contact | 9705316173 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Luna Counseling, Llc Po Box 964 Grand Lake CO 80447-0964 Ph: () - | Luna Counseling, Llc 191 East Agate Ave. Granby CO 80446 Ph: (970) 531-6173 |
NPI Number | 1982925897 |
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Provider Enumeration Date | 06/15/2010 |
Last Update Date | 01/07/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982925897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1655-00 (Colorado) | Secondary |
251S00000X | Community/behavioral Health | 165500 (Colorado) | Primary |
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