NPI | 1487180386 |
---|---|
Entity Type | Organization |
Authorized Contact | KATELYN D. CLARKSON Therapist/Sole Proprietor 719-930-5667 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0012493) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2022-01-18 |