Doctor Name: | MR. ROBERT E ECKELS |
NPI Number: | 1013072107 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW LCSW |
License Number: | 989092 |
Business Practice Address: | 2130 E Main St Montrose, CO - 81401 |
Business Phone Number: | 9702523200 |
Business Fax Number: | 9702523208 |
Mailing Address: | Po Box 1208, MONTROSE |
State: | CO |
Postal Code: | 81402 |
Phone Number: | 9702523200 |
Fax Number: | 9702523208 |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 989092 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |