| Julia Matamoros, | |
|
35 W Main St Unit 1028, Frisco, CO 80443-6655 | |
| (847) 363-4254 | |
| Not Available |
| Full Name | Julia Matamoros |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 35 W Main St Unit 1028, Frisco, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003223926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC.0020170 (Colorado) | Primary |
| Entity Name | Eagle Valley Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972267292 PECOS PAC ID: 6204297450 Enrollment ID: O20230803002737 |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Matamoros, 35 W Main St Unit 1028, Frisco, CO 80443-6655 Ph: (847) 363-4254 | Julia Matamoros, 35 W Main St Unit 1028, Frisco, CO 80443-6655 Ph: (847) 363-4254 |
Natalie Pearl Halcomb, Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 848, Frisco, CO 80443 Phone: 970-389-1339 |
Kendall Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 2nd Ave Ste 202, Frisco, CO 80443 Phone: 970-639-1681 |
Randy Jo Pacheco, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Peak One Dr, Ste 110, Frisco, CO 80443 Phone: 970-668-3478 Fax: 970-668-0632 |
Ms. Elizabeth L Brothers, MT, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 619 Main St, Suite 3c, Frisco, CO 80443 Phone: 970-485-3956 |
Kathryn A Davis, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Peak One Drive, Suite 110, Frisco, CO 80443 Phone: 970-668-3478 Fax: 970-668-0632 |
Emilie Dundee Wood, LPC Counselor Medicare: Medicare Enrolled Practice Location: 360 Peak One Dr # 100, Frisco, CO 80443 Phone: 970-668-4040 |
Charlotte Chieko Shintaku, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 South 4th, Frisco, CO 80443 Phone: 970-668-3478 Fax: 970-668-0632 |