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Organization

BLUE SKY BEHAVIORAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA GAIL RICKEY MA, LPC (BEHAVIORAL SUPPORT CONSULTANT)
(970) 946-0604
Entity
Organization

Contact information

Practice address
215 RIVERVIEW DR, DURANGO, CO 81301-4351
(970) 946-0604
(970) 382-9301
Mailing address
215 RIVERVIEW DR, DURANGO, CO 81301-4351
(970) 946-0604
(970) 382-9301

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2695
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1588790414
INDIVIDUAL NPI NUMBER
CO
05
D3878
NM
Enumeration date
06/13/2007
Last updated
07/08/2008
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