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Organization
OLIVE BRANCH COUNSELING
Active
Organization
OLIVE BRANCH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA COLEEN POWELL LPC (OWNER)
(719) 425-8814
Entity
Organization
Contact information
Practice address
430 BEACON LITE RD UNIT 125, MONUMENT, CO 80132-9182
(719) 425-8814
(719) 212-1126
Mailing address
17886 MINING WAY, MONUMENT, CO 80132-8175
(719) 425-8814
(719) 212-1126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000170087
—
CO
Enumeration date
04/22/2024
Last updated
04/22/2024
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