| Willow Tree Counseling | |
|
408 N Main St Rocky Ford CO 81067-1256 | |
| (719) 696-8426 | |
| Not Available |
| Full Name | Willow Tree Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 408 N Main St, Rocky Ford, Colorado |
| Authorized Official Name and Position | Kimberly Balagat (OWNER) |
| Authorized Official Contact | 7195280959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Tree Counseling 2227 N Elizabeth St Pueblo CO 81003-1809 Ph: (719) 696-8426 | Willow Tree Counseling 408 N Main St Rocky Ford CO 81067-1256 Ph: (719) 696-8426 |
| NPI Number | 1891420733 |
|---|---|
| Provider Enumeration Date | 07/22/2022 |
| Last Update Date | 10/30/2023 |
| Certification Date | 08/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891420733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Secondary |
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