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13659 E 104th Ave Unit 800 Commerce City CO 80022-9406 | |
| (720) 432-7690 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 13659 E 104th Ave Unit 800, Commerce City, Colorado |
| Authorized Official Name and Position | Hannah Davis (DIRECTOR) |
| Authorized Official Contact | 7204327690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
13659 E 104th Ave Unit 800 Commerce City CO 80022-9406 Ph: (720) 432-7690 | 13659 E 104th Ave Unit 800 Commerce City CO 80022-9406 Ph: (720) 432-7690 |
| NPI Number | 1033805908 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 11/26/2024 |
| Certification Date | 11/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033805908 | NPI | - | NPPES |
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