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Organization
ON THE COUCH COUNSELING AND THERAPY SERVICES LLC
Active
Organization
ON THE COUCH COUNSELING AND THERAPY SERVICES LLC
Active
Other names
Counseling on the Couch LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN SPENCER MSW, LICSW, LCSW (MENTAL HEALTH COUNSELOR)
(719) 281-4789
Entity
Organization
Contact information
Practice address
503 N MAIN ST STE 211, PUEBLO, CO 81003-3138
(719) 281-4789
Mailing address
1317 N VERMILLION CT, PUEBLO, CO 81007-1345
(425) 903-1103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6L304
MEDICARE/COMMERCIAL INSURANCE
WA
01
—
6L3403
MEDICARE/COMMERCIAL INSURANCE
CO
05
—
6L3403
—
CO
Enumeration date
03/13/2024
Last updated
03/13/2024
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