| NPI | 1679129688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY NORRIS Licensed Professional Counselor 970-439-4709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2022-05-11 |