Nu Dawn Counseling Center Llc | |
4045 Wadsworth Blvd Ste 308 Wheat Ridge CO 80033-4626 | |
(303) 500-3253 | |
Not Available |
Full Name | Nu Dawn Counseling Center Llc |
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Speciality | Psychologist |
Location | 4045 Wadsworth Blvd Ste 308, Wheat Ridge, Colorado |
Authorized Official Name and Position | Summer Whittaker (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 6174539505 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nu Dawn Counseling Center Llc 4045 Wadsworth Blvd Ste 308 Wheat Ridge CO 80033-4626 Ph: (303) 500-3253 | Nu Dawn Counseling Center Llc 4045 Wadsworth Blvd Ste 308 Wheat Ridge CO 80033-4626 Ph: (303) 500-3253 |
NPI Number | 1649760190 |
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Provider Enumeration Date | 05/10/2018 |
Last Update Date | 05/10/2018 |
Medicare PECOS PAC ID | 1456606847 |
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Medicare Enrollment ID | O20180627000116 |
Identifier | Type | State | Issuer |
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1649760190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | PSY0003393 (Colorado) | Primary |
Provider Name | Jo A Johnston |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1174841852 PECOS PAC ID: 1557543469 Enrollment ID: I20110315000211 |
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