| |
3780 N Garfield Ave Ste 202 Loveland CO 80538-2237 | |
(970) 408-0363 | |
Not Available |
Full Name | |
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Speciality | Marriage & Family Therapist |
Location | 3780 N Garfield Ave Ste 202, Loveland, Colorado |
Authorized Official Name and Position | Jennifer Nash (OWNER/PROVIDER) |
Authorized Official Contact | 9704080363 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3534 Whisperwood Ct Johnstown CO 80534-2402 Ph: (315) 873-2936 | 3780 N Garfield Ave Ste 202 Loveland CO 80538-2237 Ph: (970) 408-0363 |
NPI Number | 1598511586 |
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Provider Enumeration Date | 04/29/2024 |
Last Update Date | 01/30/2025 |
Certification Date | 01/30/2025 |
Medicare PECOS PAC ID | 2163964370 |
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Medicare Enrollment ID | O20240603004086 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598511586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | Jennifer N Nash |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1225811706 PECOS PAC ID: 0648623975 Enrollment ID: I20240603004076 |
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