Beverly Gardner Llc

NPI 1033483276 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1033483276
Enumeration Date 03/06/2012
Last Updated 03/06/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name BEVERLY BEVERLY
Position COUNSELOR
Phone (719) 660-5281
Fax (866) 703-1432
Practice Location
10 BOULDER CRESCENT ST
SUITE 203F
COLORADO SPRINGS CO, 80903-3344, US
Phone (719) 660-5281
Fax (866) 703-1432
Business Location
10 BOULDER CRESCENT ST
SUITE 203F
COLORADO SPRINGS CO, 80903-3344, US
Phone (719) 660-5281
Fax (866) 703-1432
Toxanomy
Taxonomy Code 251S00000X
License State Colorado
License Number 1820
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According to our database, Beverly Gardner Llc NPI is 1033483276, taxonomy code is 251S00000X and license number is 1820, license state is located at Colorado. Beverly Gardner Llc physically located at 10 Boulder Crescent St, Colorado Springs CO, 80903-3344. NPI Number 1033115704 has the healthcare provider type.

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1033483276 NPI number is provided on an as is basis without warranty of any kind. 1033483276 is maintained by the National Plan & Provider Enumeration System. The contents of Beverly Gardner Llc are for informational purposes only.