| NPI | 1861897191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY CUNNINGHAM Member 720-509-9832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO LPC.0001049) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO LPCC.0013627) |
| 101YM0800X Counselor Mental Health (Licence: CO LPC.0006361) | |
| 101YM0800X Counselor Mental Health (Licence: CO LPCC.0013813) | |
| 1041C0700X Social Worker Clinical (Licence: CO CSW.00001892) | |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2015-01-23 |