Edgar De Van, CAC II

NPI 1215139019 · on the registry since 2007 · sole proprietor

Practice

Address: 615 Russell Ave
Walsenburg, CO 81089
Phone: (719) 738-2076
Organisation at this address: Crossroads Turning Points Inc
Cynthia Tanaka Counseling And Consulting Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado