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Organization

CLEAN AND CLEAR MINDED CCM COUNSELING LLC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CRYSTAL CAMPBELL MESSER LCSW CAC III (OWNER-THERAPIST)
(303) 638-8131
Entity
Organization

Contact information

Practice address
9035 WADSWORTH PKWY, SUITE #2750, WESTMINSTER, CO 80021-8634
(303) 638-8131
(720) 222-8786
Mailing address
1827 QUAIL ST APT 9, LAKEWOOD, CO 80215-2735
(303) 638-8131
(720) 222-8786

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5437
CO
1041C0700X
Clinical Social Worker
989983
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
$$$$$$$$$
SOCIAL SECURITY NUMBER
CO
01
1114047172
INDIVIDUAL NPI NUMBER
CO
Enumeration date
07/02/2007
Last updated
09/11/2025
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