| NPI | 1518400837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIFE COUNSELING AND CONSULTING PLLC Manager 605-941-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW09923604) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACD40000646) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2017-04-23 |