| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 05/10/2018 |
| Medicare PECOS PAC ID | 1456606847 |
|---|---|
| Medicare Enrollment ID | O20180627000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649760190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY0003393 (Colorado) | Primary |
| Provider Name | Jo A Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174841852 PECOS PAC ID: 1557543469 Enrollment ID: I20110315000211 |
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