| NPI | 1770126138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVERY LEE DAVIS Licensed Professional Counselor 720-440-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2021-05-10 |