| Cedar Circle Counseling LLC | |
|
21010 Rustic Rd Cedaredge CO 81413-8430 | |
| (970) 628-0910 | |
| Not Available |
| Full Name | Cedar Circle Counseling LLC |
|---|---|
| Speciality | Social Worker |
| Location | 21010 Rustic Rd, Cedaredge, Colorado |
| Authorized Official Name and Position | Marjorie Clewett Von Ronne (OWNER) |
| Authorized Official Contact | 9706280910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Circle Counseling LLC Po Box 72 Cedaredge CO 81413-0072 Ph: (970) 628-0910 | Cedar Circle Counseling LLC 21010 Rustic Rd Cedaredge CO 81413-8430 Ph: (970) 628-0910 |
| NPI Number | 1841968658 |
|---|---|
| Provider Enumeration Date | 09/06/2021 |
| Last Update Date | 09/06/2021 |
| Certification Date | 09/06/2021 |
| Medicare PECOS PAC ID | 4385181494 |
|---|---|
| Medicare Enrollment ID | O20240807002637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841968658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Secondary |
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Marjorie Clewett Von Ronne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134639842 PECOS PAC ID: 5294272308 Enrollment ID: I20240807002757 |
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