Organization
EAGLE VALLEY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOHN GAHAGAN LPC, CACIII, ADVP (OWNER/DIRECTOR)
(970) 926-8196
Entity
Organization
Contact information
Practice address
275 MAIN ST, SUITE 208, EDWARDS, CO 81632-7805
(970) 926-8196
(970) 926-8438
Mailing address
275 MAIN ST, SUITE 208, EDWARDS, CO 81632-7805
(970) 926-8196
(970) 926-8438
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1803
CO
Other
Enumeration date
05/24/2008
Last updated
05/24/2008
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