Provider Demographics
NPI:1821843236
Name:MONUMENT CHRISTIAN COUNSELING, PLLC
Entity Type:Organization
Organization Name:MONUMENT CHRISTIAN COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:JUANES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:970-985-0044
Mailing Address - Street 1:2501 BLICHMANN AVE STE 118
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-1031
Mailing Address - Country:US
Mailing Address - Phone:970-985-0044
Mailing Address - Fax:
Practice Address - Street 1:135 EAST 1ST STREET
Practice Address - Street 2:
Practice Address - City:PARACHUTE
Practice Address - State:CO
Practice Address - Zip Code:81635
Practice Address - Country:US
Practice Address - Phone:970-985-0044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty