| Medical Hypnosis Center Inc | |
|
1180 Main St Unit B Windsor CO 80550-4753 | |
| (970) 674-0191 | |
| (970) 674-0221 |
| Full Name | Medical Hypnosis Center Inc |
|---|---|
| Speciality | Counselor |
| Location | 1180 Main St Unit B, Windsor, Colorado |
| Authorized Official Name and Position | Sandi Y Squicquero (OWNER) |
| Authorized Official Contact | 9706740191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Hypnosis Center Inc 725 Boardman Canfield Rd Ste O Boardman OH 44512-4359 Ph: (330) 758-4515 | Medical Hypnosis Center Inc 1180 Main St Unit B Windsor CO 80550-4753 Ph: (970) 674-0191 |
| NPI Number | 1356108476 |
|---|---|
| Provider Enumeration Date | 03/05/2024 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Medicare PECOS PAC ID | 8729427414 |
|---|---|
| Medicare Enrollment ID | O20240415000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356108476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sandi Y Squicquero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356426696 PECOS PAC ID: 4880033562 Enrollment ID: I20240415000383 |
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