Mato Sapa Trails Llc | |
710 South St Castle Rock CO 80104-2621 | |
(303) 949-1087 | |
Not Available |
Full Name | Mato Sapa Trails Llc |
---|---|
Speciality | Counselor - Professional |
Location | 710 South St, Castle Rock, Colorado |
Authorized Official Name and Position | Jennifer Elliott (OWNER) |
Authorized Official Contact | 3039491087 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mato Sapa Trails Llc 710 South St Castle Rock CO 80104-2621 Ph: () - | Mato Sapa Trails Llc 710 South St Castle Rock CO 80104-2621 Ph: (303) 949-1087 |
NPI Number | 1538891817 |
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Provider Enumeration Date | 06/27/2022 |
Last Update Date | 06/27/2022 |
Certification Date | 06/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538891817 | NPI | - | NPPES |
LPC.0001519 | Other | CO | DORA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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