| New Beginnings | |
|
1301 W 17th St Pueblo CO 81003-1915 | |
| (719) 545-5211 | |
| (719) 545-1962 |
| Full Name | New Beginnings |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 1301 W 17th St, Pueblo, Colorado |
| Authorized Official Name and Position | Carlos Jose Rodriguez (PSYCHOLOGIST) |
| Authorized Official Contact | 7195455211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Beginnings Po Box 3336 Pueblo CO 81005-0336 Ph: (719) 545-5211 | New Beginnings 1301 W 17th St Pueblo CO 81003-1915 Ph: (719) 545-5211 |
| NPI Number | 1811322969 |
|---|---|
| Provider Enumeration Date | 09/09/2013 |
| Last Update Date | 09/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811322969 | NPI | - | NPPES |
| 07109952 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 1004 (Colorado) | Primary |
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