NPI | 1093168650 |
---|---|
Entity Type | Organization |
Authorized Contact | CARRIE ANNE WATSON Therapist 719-963-5744 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012495) |
Enumeration Date | 2016-07-19 |
Last Update Date | 2016-12-12 |