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3333 S Wadsworth Blvd Unit 201 Lakewood CO 80227-5141 | |
| (303) 989-5534 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3333 S Wadsworth Blvd Unit 201, Lakewood, Colorado |
| Authorized Official Name and Position | Jennifer Thorstad (OWNER) |
| Authorized Official Contact | 3039895534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1754 N Lafayette St Denver CO 80218-1117 Ph: (303) 474-4193 | 3333 S Wadsworth Blvd Unit 201 Lakewood CO 80227-5141 Ph: (303) 989-5534 |
| NPI Number | 1083350011 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083350011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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