| Leticia G Harrison, | |
|
360 Eby Creek Rd, Eagle, CO 81631 | |
| (970) 306-4673 | |
| Not Available |
| Full Name | Leticia G Harrison |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 360 Eby Creek Rd, Eagle, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417689092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPCC.0018690 (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 |
|---|---|
| Leticia G Harrison, Po Box 2117, Eagle, CO 81631-2117 Ph: (970) 306-4673 | Leticia G Harrison, 360 Eby Creek Rd, Eagle, CO 81631 Ph: (970) 306-4673 |
Lori Jane Cuno, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 137 Howard Street, Eagle, CO 81631 Phone: 970-328-6969 Fax: 970-328-6329 | |
Julia D Kozusko, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 137 Howard Street, Eagle, CO 81631 Phone: 970-328-6969 Fax: 970-328-6329 | |
Joycetta Mary Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 137 Howard St, Eagle, CO 81631 Phone: 970-328-6969 Fax: 970-358-6329 | |
Alison Casey Harakal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 137 Howard St, Eagle, CO 81631 Phone: 970-328-6969 Fax: 970-328-6329 | |
Dawn Allison Nichols, Counselor Medicare: Medicare Enrolled Practice Location: 137 Howard, Eagle, CO 81631 Phone: 970-328-6969 Fax: 970-328-6329 | |
Ms. Allison J Goldsmith, MS, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Eby Creek Rd, Eagle, CO 81631 Phone: 970-306-4673 | |
Veronica Josette Sicking, Counselor Medicare: Accepting Medicare Assignments Practice Location: 137 Howard St., Eagle, CO 81631 Phone: 970-328-6969 Fax: 970-328-6329 |