Open Gate Counseling Service, Llc | |
2611 Jones Ave Pueblo CO 81004-2650 | |
(888) 948-6789 | |
(877) 345-3501 |
Full Name | Open Gate Counseling Service, Llc |
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Speciality | Counselor - Professional |
Location | 2611 Jones Ave, Pueblo, Colorado |
Authorized Official Name and Position | Karen C Khaton (OWNER) |
Authorized Official Contact | 7197442326 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Open Gate Counseling Service, Llc 1 Kalisa Way Ste 101 Paramus NJ 07652-3508 Ph: (888) 948-6789 | Open Gate Counseling Service, Llc 2611 Jones Ave Pueblo CO 81004-2650 Ph: (888) 948-6789 |
NPI Number | 1902624539 |
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Provider Enumeration Date | 10/02/2024 |
Last Update Date | 10/02/2024 |
Certification Date | 10/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902624539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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