| Oak And Aspen Counseling, Pllc | |
|
350 Broadway St Ste 210 Boulder CO 80305-3338 | |
| (970) 703-5746 | |
| Not Available |
| Full Name | Oak And Aspen Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 350 Broadway St Ste 210, Boulder, Colorado |
| Authorized Official Name and Position | Daniel Belonick (FOUNDER, MANAGER) |
| Authorized Official Contact | 9142741152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak And Aspen Counseling, Pllc 8800 W 116th Cir Unit 7622 Broomfield CO 80021-2783 Ph: (970) 703-5746 | Oak And Aspen Counseling, Pllc 350 Broadway St Ste 210 Boulder CO 80305-3338 Ph: (970) 703-5746 |
| NPI Number | 1629722558 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/09/2022 |
| Medicare PECOS PAC ID | 3870971864 |
|---|---|
| Medicare Enrollment ID | O20220603000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629722558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Daniel Belonick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225571763 PECOS PAC ID: 3274809140 Enrollment ID: I20210416000182 |
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