| Wahlberg Counseling Services | |
|
5855 Lehman Dr Ste 201 Colorado Springs CO 80918-3492 | |
| (719) 271-6306 | |
| (719) 362-4390 |
| Full Name | Wahlberg Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 5855 Lehman Dr Ste 201, Colorado Springs, Colorado |
| Authorized Official Name and Position | Nykol R Wahlberg (OWNER) |
| Authorized Official Contact | 7192716306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wahlberg Counseling Services 5855 Lehman Dr Ste 201 Colorado Springs CO 80918-3492 Ph: (719) 271-6306 | Wahlberg Counseling Services 5855 Lehman Dr Ste 201 Colorado Springs CO 80918-3492 Ph: (719) 271-6306 |
| NPI Number | 1619367901 |
|---|---|
| Provider Enumeration Date | 01/26/2015 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Medicare PECOS PAC ID | 4284954389 |
|---|---|
| Medicare Enrollment ID | O20150513000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619367901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 00002014 (Colorado) | Primary |
| Provider Name | Nykol R Wahlberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457585416 PECOS PAC ID: 1658538657 Enrollment ID: I20120202000447 |
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