Goodneighbor, Llc | |
1012 Main St Canon City CO 81212-3465 | |
(719) 406-8073 | |
Not Available |
Full Name | Goodneighbor, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 1012 Main St, Canon City, Colorado |
Authorized Official Name and Position | Evguenia Guentcheva (OWNER) |
Authorized Official Contact | 7194068073 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Goodneighbor, Llc 503 Candlewood Dr Canon City CO 81212-2071 Ph: () - | Goodneighbor, Llc 1012 Main St Canon City CO 81212-3465 Ph: (719) 406-8073 |
NPI Number | 1245778307 |
---|---|
Provider Enumeration Date | 02/08/2017 |
Last Update Date | 02/08/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245778307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
News Archive
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› Verified 9 days ago
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