| Map And The Mirror Counseling, Llc | |
|
911 Two Rivers Dr Telluride CO 81435-9152 | |
| (225) 571-4404 | |
| Not Available |
| Full Name | Map And The Mirror Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 911 Two Rivers Dr, Telluride, Colorado |
| Authorized Official Name and Position | Rae Centanni Shaffner (OWNER) |
| Authorized Official Contact | 2255714404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Map And The Mirror Counseling, Llc 911 Two Rivers Dr Telluride CO 81435-9152 Ph: (225) 571-4404 | Map And The Mirror Counseling, Llc 911 Two Rivers Dr Telluride CO 81435-9152 Ph: (225) 571-4404 |
| NPI Number | 1063047900 |
|---|---|
| Provider Enumeration Date | 03/11/2020 |
| Last Update Date | 03/11/2020 |
| Certification Date | 03/11/2020 |
| Medicare PECOS PAC ID | 4486052131 |
|---|---|
| Medicare Enrollment ID | O20211011000326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063047900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rae M Shaffner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407252877 PECOS PAC ID: 5991028557 Enrollment ID: I20150107000046 |
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