| Whole Life Counseling Center, Llc | |
|
740 Burbank St Broomfield CO 80020-1658 | |
| (720) 495-7741 | |
| Not Available |
| Full Name | Whole Life Counseling Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 740 Burbank St, Broomfield, Colorado |
| Authorized Official Name and Position | Tracy Kenline (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7204957741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Life Counseling Center, Llc 740 Burbank St Broomfield CO 80020-1658 Ph: (720) 495-7741 | Whole Life Counseling Center, Llc 740 Burbank St Broomfield CO 80020-1658 Ph: (720) 495-7741 |
| NPI Number | 1306113170 |
|---|---|
| Provider Enumeration Date | 11/22/2011 |
| Last Update Date | 11/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306113170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1453 (Colorado) | Primary |
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