| Open Gate Counseling Service, Llc | |
|
855 Hunter Dr Pueblo CO 81001-1867 | |
| (888) 948-6789 | |
| (877) 345-3501 |
| Full Name | Open Gate Counseling Service, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 855 Hunter Dr, Pueblo, Colorado |
| Authorized Official Name and Position | Karen C Khaton (OWNER) |
| Authorized Official Contact | 7197442326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Gate Counseling Service, Llc 1 Kalisa Way Ste 101 Paramus NJ 07652-3508 Ph: (888) 948-6789 | Open Gate Counseling Service, Llc 855 Hunter Dr Pueblo CO 81001-1867 Ph: (888) 948-6789 |
| NPI Number | 1073349163 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073349163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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