| NPI | 1679022719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A. DERRY Licensed Professional Counselor 303-960-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO 0012334) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |