| Southern Colorado Counseling And Wellness. Pllc | |
|
417 W 13th St Pueblo CO 81003-2703 | |
| (352) 281-6543 | |
| Not Available |
| Full Name | Southern Colorado Counseling And Wellness. Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 417 W 13th St, Pueblo, Colorado |
| Authorized Official Name and Position | Doug Jones (OWNER) |
| Authorized Official Contact | 3522816543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Colorado Counseling And Wellness. Pllc 417 W 13th St Pueblo CO 81003-2703 Ph: (352) 281-6543 | Southern Colorado Counseling And Wellness. Pllc 417 W 13th St Pueblo CO 81003-2703 Ph: (352) 281-6543 |
| NPI Number | 1396464392 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 08/23/2022 |
| Certification Date | 08/23/2022 |
| Medicare PECOS PAC ID | 2466838693 |
|---|---|
| Medicare Enrollment ID | O20220926002020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396464392 | NPI | - | NPPES |
| Provider Name | Douglas Tomasin Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063801579 PECOS PAC ID: 3375899792 Enrollment ID: I20180627001572 |
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