NPI | 1396119020 |
---|---|
Former Legal Business Name | SUTHERLAND COUNSELING, LLC |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER ESTEP Clinical Director 719-471-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY-0003464) |
Enumeration Date | 2015-11-18 |
Last Update Date | 2015-11-18 |