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Organization
MERIDIAN WELLNESS SERVICES
Active
Organization
MERIDIAN WELLNESS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOROTHY JIMENEZ LCSW, DM (OWNER)
(970) 568-2905
Entity
Organization
Contact information
Practice address
601 RED MOUNTAIN RD, LIVERMORE, CO 80536-8903
(970) 568-2905
Mailing address
601 RED MOUNTAIN RD, LIVERMORE, CO 80536-8903
(970) 568-2905
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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