| Victoria Wisdom-imbach | |
|
6795 E Tennessee Ave # 1-413 Denver CO 80224-1614 | |
| (503) 450-9900 | |
| (267) 288-0775 |
| Full Name | Victoria Wisdom-imbach |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6795 E Tennessee Ave # 1-413, Denver, Colorado |
| Authorized Official Name and Position | Victoria Jasmine Wisdom-imbach (OWNER) |
| Authorized Official Contact | 3039469071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Wisdom-imbach 1551 Larimer St Apt 2406 Denver CO 80202-1637 Ph: (303) 946-9071 | Victoria Wisdom-imbach 6795 E Tennessee Ave # 1-413 Denver CO 80224-1614 Ph: (503) 450-9900 |
| NPI Number | 1134897218 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 05/31/2022 |
| Certification Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134897218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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