| Goodneighbor, Llc | |
|
1012 Main St Canon City CO 81212-3465 | |
| (719) 406-8073 | |
| Not Available |
| Full Name | Goodneighbor, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1012 Main St, Canon City, Colorado |
| Authorized Official Name and Position | Evguenia Guentcheva (OWNER) |
| Authorized Official Contact | 7194068073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodneighbor, Llc 503 Candlewood Dr Canon City CO 81212-2071 Ph: () - | Goodneighbor, Llc 1012 Main St Canon City CO 81212-3465 Ph: (719) 406-8073 |
| NPI Number | 1245778307 |
|---|---|
| Provider Enumeration Date | 02/08/2017 |
| Last Update Date | 02/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245778307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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