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 |