| Mountain West Wisdom And Wellness, Llc | |
|
7114 W Jefferson Ave Ste 207 Lakewood CO 80235-2356 | |
| (720) 258-6278 | |
| Not Available |
| Full Name | Mountain West Wisdom And Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7114 W Jefferson Ave Ste 207, Lakewood, Colorado |
| Authorized Official Name and Position | Diane Fern (OWNER) |
| Authorized Official Contact | 4026178683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain West Wisdom And Wellness, Llc 10233 Cavaletti Dr Littleton CO 80125-7940 Ph: (401) 617-8683 | Mountain West Wisdom And Wellness, Llc 7114 W Jefferson Ave Ste 207 Lakewood CO 80235-2356 Ph: (720) 258-6278 |
| NPI Number | 1467292003 |
|---|---|
| Provider Enumeration Date | 05/30/2024 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467292003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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