Provider Demographics
NPI:1891969598
Name:WESTERN EMPLOYEE ASSISTANCE SERVICES
Entity Type:Organization
Organization Name:WESTERN EMPLOYEE ASSISTANCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:NOONAN
Authorized Official - Last Name:CHOQUETTE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LAC
Authorized Official - Phone:970-764-3760
Mailing Address - Street 1:1010 THREE SPRINGS BLVD STE 248
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-8296
Mailing Address - Country:US
Mailing Address - Phone:970-764-3760
Mailing Address - Fax:970-764-3769
Practice Address - Street 1:1010 THREE SPRINGS BLVD STE 248
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-8296
Practice Address - Country:US
Practice Address - Phone:970-764-3760
Practice Address - Fax:970-764-3769
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERCY REGIONAL MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1790101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty