MEDICARE: WESCO COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1558197160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESCO COUNSELING LLC

Provider Business Mailing Address
First Line	:	551 GRAND AVE STE S-307
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81501-2694
Country	:	US
Telephone Number	:	720-985-8190
Fax Number	:

Provider Business Practice Location Address
First Line	:	551 GRAND AVE STE S-307
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81501-2694
Country	:	US
Telephone Number	:	720-985-8190
Fax Number	:

Authorized Official
Title or Position	:	LCSW
Name	:	TIFFANY MICHELLE MONTANO
Credential	:	LCSW
Telephone Number	:	720-985-8190

Provider Enumeration Date	:	09/10/2024
Last Update Date	:	02/17/2026

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