| Wings Of Hope Counseling Services, Pllc | |
|
1335 Phay Ave Canon City CO 81212-2334 | |
| (877) 582-7839 | |
| (877) 562-7839 |
| Full Name | Wings Of Hope Counseling Services, Pllc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1335 Phay Ave, Canon City, Colorado |
| Authorized Official Name and Position | Timothy R Pearson (DIRECTOR) |
| Authorized Official Contact | 7192758714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wings Of Hope Counseling Services, Pllc Po Box 521 Canon City CO 81215-0521 Ph: (877) 582-7839 | Wings Of Hope Counseling Services, Pllc 1335 Phay Ave Canon City CO 81212-2334 Ph: (877) 582-7839 |
| NPI Number | 1942593538 |
|---|---|
| Provider Enumeration Date | 05/16/2011 |
| Last Update Date | 05/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942593538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 7038 (Colorado) | Primary |
| 101YP2500X | Counselor - Professional | 4723 (Colorado) | Secondary |
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