| Psychedin | |
|
2101 S Blackhawk St Suite 180 Aurora CO 80014-1492 | |
| (303) 380-1858 | |
| Not Available |
| Full Name | Psychedin |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2101 S Blackhawk St, Aurora, Colorado |
| Authorized Official Name and Position | Karen Elizabeth Anderson Fagan (OWNER) |
| Authorized Official Contact | 3033801858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychedin Po Box 59 Strasburg CO 80136-0059 Ph: (303) 380-1858 | Psychedin 2101 S Blackhawk St Suite 180 Aurora CO 80014-1492 Ph: (303) 380-1858 |
| NPI Number | 1124489927 |
|---|---|
| Provider Enumeration Date | 03/08/2016 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124489927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1686 (Colorado) | Primary |
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