Mountain West Wisdom And Wellness, LLC
Social Worker, Clinical in Lakewood, CO. Organization (NPI-2).
NPI number1467292003
StatusActive
Last updated in NPPESMay 30, 2024
Details
- NPI
- 1467292003
- Entity type
- Organization (NPI-2)
- Legal business name
- Mountain West Wisdom And Wellness, LLC
- Organization subpart
- No
- Enumeration date
- May 30, 2024
- Certification date
- May 30, 2024
- Last updated
- May 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Other names
- Diane Fern, Lcsw (Doing Business As)
Practice location
7114 W Jefferson Ave Ste 207Lakewood, CO 80235-2356
Phone 720-258-6278
Mailing address
10233 Cavaletti DrLittleton, CO 80125-7940
Phone 401-617-8683
Authorized official
Diane Fern
Owner
4026178683
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