Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003111832 |
---|---|
Provider Name | Ronald J Meyer |
First Address | Denver, CO 80205-2529 |
Second Address | La Junta, CO 81050-2138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2011 |
Last Update Date | 18/09/2018 |