| The Dawn Goddess Llc | |
|
1010 S Cascade Ave Ste E Montrose CO 81401-4980 | |
| (970) 465-2714 | |
| (970) 230-5913 |
| Full Name | The Dawn Goddess Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1010 S Cascade Ave Ste E, Montrose, Colorado |
| Authorized Official Name and Position | Amiessa Dawn Jutten (OWNER) |
| Authorized Official Contact | 9704652714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dawn Goddess Llc 236 S 3rd St # 308 Montrose CO 81401-3618 Ph: (970) 465-2714 | The Dawn Goddess Llc 1010 S Cascade Ave Ste E Montrose CO 81401-4980 Ph: (970) 465-2714 |
| NPI Number | 1427606136 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 08/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427606136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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