| Running Stream Counseling Service, Pc | |
|
421 N Main St Pueblo CO 81003-3196 | |
| (719) 214-3033 | |
| (719) 544-1186 |
| Full Name | Running Stream Counseling Service, Pc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 421 N Main St, Pueblo, Colorado |
| Authorized Official Name and Position | Sharon Griffin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3038051218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Running Stream Counseling Service, Pc 18425 Pony Express Dr Suite 203 Parker CO 80134-9605 Ph: (303) 805-1218 | Running Stream Counseling Service, Pc 421 N Main St Pueblo CO 81003-3196 Ph: (719) 214-3033 |
| NPI Number | 1942699335 |
|---|---|
| Provider Enumeration Date | 01/22/2015 |
| Last Update Date | 01/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942699335 | NPI | - | NPPES |
| 02656027 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACC.0001544 (Colorado) | Primary |
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