| Clean And Clear Minded Ccm Counseling Llc Pc | |
|
9035 Wadsworth Pkwy Suite #2750 Westminster CO 80021-8634 | |
| (303) 638-8131 | |
| (720) 222-8786 |
| Full Name | Clean And Clear Minded Ccm Counseling Llc Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9035 Wadsworth Pkwy, Westminster, Colorado |
| Authorized Official Name and Position | Crystal Campbell Messer (OWNER-THERAPIST) |
| Authorized Official Contact | 3036388131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clean And Clear Minded Ccm Counseling Llc Pc 1827 Quail St Apt 9 Lakewood CO 80215-2735 Ph: (303) 638-8131 | Clean And Clear Minded Ccm Counseling Llc Pc 9035 Wadsworth Pkwy Suite #2750 Westminster CO 80021-8634 Ph: (303) 638-8131 |
| NPI Number | 1659578599 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659578599 | NPI | - | NPPES |
| 1114047172 | Other | CO | INDIVIDUAL NPI NUMBER |
| $$$$$$$$$ | Other | CO | SOCIAL SECURITY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 5437 (Colorado) | Primary |
| 1041C0700X | Social Worker - Clinical | 989983 (Colorado) | Primary |
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