| Coal Creek Counseling Associates | |
|
357 Mccaslin Blvd Ste 200 Louisville CO 80027-2932 | |
| (720) 233-5114 | |
| Not Available |
| Full Name | Coal Creek Counseling Associates |
|---|---|
| Speciality | Clinic/center |
| Location | 357 Mccaslin Blvd Ste 200, Louisville, Colorado |
| Authorized Official Name and Position | Gwendolyn Gaumond (OWNER) |
| Authorized Official Contact | 7202335114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coal Creek Counseling Associates 1036 Lincoln Ave Louisville CO 80027-1720 Ph: (720) 233-5114 | Coal Creek Counseling Associates 357 Mccaslin Blvd Ste 200 Louisville CO 80027-2932 Ph: (720) 233-5114 |
| NPI Number | 1326556051 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 01/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326556051 | NPI | - | NPPES |
| 1538509153 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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