NPI | 1578014411 |
---|---|
Entity Type | Organization |
Authorized Contact | ISABELLA F GEYER Owner 720-416-3451 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004573) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000380) |
101YP2500X Counselor, Professional (Licence: CO LPC.0012040) | |
Enumeration Date | 2016-10-15 |
Last Update Date | 2021-04-23 |