| Roxanne Upshaw, Inc. | |
|
441 Manitou Ave Ste 201 Manitou Springs CO 80829-2334 | |
| (719) 963-6487 | |
| Not Available |
| Full Name | Roxanne Upshaw, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 441 Manitou Ave Ste 201, Manitou Springs, Colorado |
| Authorized Official Name and Position | Roxanne Upshaw (OWNER) |
| Authorized Official Contact | 7199636487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roxanne Upshaw, Inc. Po Box 622 Manitou Springs CO 80829-0622 Ph: () - | Roxanne Upshaw, Inc. 441 Manitou Ave Ste 201 Manitou Springs CO 80829-2334 Ph: (719) 963-6487 |
| NPI Number | 1710473616 |
|---|---|
| Provider Enumeration Date | 07/03/2018 |
| Last Update Date | 07/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710473616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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