| NPI | 1124553102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERILYN YINGLING Owner/Clinician 719-686-6703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012668) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-08-15 |