| Susanne Neal Dba Clearwater Counseling | |
|
1206 Harrison Ave Leadville CO 80461-3327 | |
| (719) 293-0750 | |
| Not Available |
| Full Name | Susanne Neal Dba Clearwater Counseling |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1206 Harrison Ave, Leadville, Colorado |
| Authorized Official Name and Position | Susanne Bridgette Neal (OWNER- LICENCES PROFESSIONAL OCUNSE) |
| Authorized Official Contact | 7192930750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susanne Neal Dba Clearwater Counseling Po Box 759 Leadville CO 80461-0759 Ph: (719) 293-0750 | Susanne Neal Dba Clearwater Counseling 1206 Harrison Ave Leadville CO 80461-3327 Ph: (719) 293-0750 |
| NPI Number | 1114653946 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 07/25/2022 |
| Certification Date | 07/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114653946 | NPI | - | NPPES |
| 0014244 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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