| Pure Intentions Counseling Llc | |
|
125 Rock Bridge Windsor CO 80550 | |
| (720) 209-6346 | |
| Not Available |
| Full Name | Pure Intentions Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 125 Rock Bridge, Windsor, Colorado |
| Authorized Official Name and Position | Dominga Crystal Martinez (OWNER) |
| Authorized Official Contact | 7202096346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Intentions Counseling Llc 125 Rock Bridge Windsor CO 80550 Ph: (720) 209-6346 | Pure Intentions Counseling Llc 125 Rock Bridge Windsor CO 80550 Ph: (720) 209-6346 |
| NPI Number | 1922712785 |
|---|---|
| Provider Enumeration Date | 01/06/2023 |
| Last Update Date | 01/06/2023 |
| Certification Date | 01/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922712785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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