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Organization
MOUNTAIN MEADOWS COUNSELING, LLC
Active
Organization
MOUNTAIN MEADOWS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNY HEISCHKEL LCSW (MENTAL HEALTH THERAPIST, OWNER)
(970) 222-2027
Entity
Organization
Contact information
Practice address
620 TRUST DR, BAYFIELD, CO 81122-9235
(970) 222-2027
Mailing address
620 TRUST DR, BAYFIELD, CO 81122-9235
(970) 222-2027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
991272
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C810674
MEDICARE PTAN
CO
Enumeration date
08/08/2012
Last updated
08/08/2012
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