| Lori Pahl | |
|
1992 Sugarbush Dr Evergreen CO 80439-9489 | |
| (720) 432-3779 | |
| Not Available |
| Full Name | Lori Pahl |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1992 Sugarbush Dr, Evergreen, Colorado |
| Authorized Official Name and Position | Lori Ann Pahl (OWNER/MANAGER) |
| Authorized Official Contact | 7204323779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Pahl 1992 Sugarbush Dr Evergreen CO 80439-9489 Ph: (720) 432-3779 | Lori Pahl 1992 Sugarbush Dr Evergreen CO 80439-9489 Ph: (720) 432-3779 |
| NPI Number | 1801424858 |
|---|---|
| Provider Enumeration Date | 03/27/2020 |
| Last Update Date | 06/18/2020 |
| Certification Date | 06/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801424858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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