| NPI | 1164873519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOSNANNA KOZBERG SHACHTMAN Licensed Professional Counselor 720-380-3725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0012079) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |