| NPI | 1821776204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE RAE VELASQUEZ Licensed Professional Counselor 719-859-2539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |