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8000 E Prentice Ave Ste B12 Greenwood Village CO 80111-2758 | |
| (720) 556-5257 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8000 E Prentice Ave Ste B12, Greenwood Village, Colorado |
| Authorized Official Name and Position | Daniel Sampson (FOUNDER/CEO) |
| Authorized Official Contact | 7205565257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
16890 E Alameda Pkwy Unit 473484 Aurora CO 80047-5048 Ph: () - | 8000 E Prentice Ave Ste B12 Greenwood Village CO 80111-2758 Ph: (720) 556-5257 |
| NPI Number | 1851069926 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 09/23/2021 |
| Certification Date | 09/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851069926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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