IndividualActive

Mr. Edgar Carl De Van III

CAC II

Counselor - Addiction (Substance Use Disorder)

NPI: 1215139019Walsenburg, Colorado, 81089(719) 738-2076Male

About Mr. Edgar Carl De Van III

Mr. Edgar Carl De Van III, CAC II, is a male healthcare professional specializing in Counselor - Addiction (Substance Use Disorder) with a focus on Addiction (Substance Use Disorder), registered under National Provider Identifier (NPI) number 1215139019.

Their primary practice is located at 615 RUSSELL AVE, Walsenburg, Colorado 81089. Patients can reach the office at (719) 738-2076. Mr. Edgar Carl De Van III has been NPI-registered since 2007.

Doctor Details

Identity & Credentials

NPI Number: 1215139019
Entity Type: Individual
First Name: Edgar
Last Name: De Van
Credential: CAC II
Gender: Male
Sole Proprietor: Yes
Status: active

Primary Practice Location

Address: 615 RUSSELL AVE
City: Walsenburg
State: Colorado
ZIP: 81089-2127
Country: United States
Phone: (719) 738-2076

Specialty & Taxonomy

Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Classification: Counselor
Specialization: Addiction (Substance Use Disorder)
Taxonomy Code: 101YA0400X

NPI Registration

Enumeration Date: Jun 4, 2007
Last Updated: Jul 8, 2007
Certification Date

Mailing Address

Address: 206 W 3RD ST
City: WALSENBURG
State: CO
ZIP: 810891904

Medicare Enrollment

Medicare Enrolled: No
Can Order/Refer: No
Telehealth: No
Excluded: No

Frequently Asked Questions

What is Mr. Edgar Carl De Van III's NPI number?

Mr. Edgar Carl De Van III's National Provider Identifier (NPI) is 1215139019. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.

What does Mr. Edgar Carl De Van III specialize in?

Mr. Edgar Carl De Van III specializes in Counselor - Addiction (Substance Use Disorder).

Where is Mr. Edgar Carl De Van III located?

Mr. Edgar Carl De Van III practices at 615 RUSSELL AVE, Walsenburg, Colorado 81089. You can reach them by phone at (719) 738-2076.

Does Mr. Edgar Carl De Van III accept Medicare?

Based on available data, Mr. Edgar Carl De Van III is not currently enrolled in the Medicare program.

Does Mr. Edgar Carl De Van III offer telehealth or virtual visits?

Mr. Edgar Carl De Van III does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Edgar Carl De Van III is 1215139019.