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Organization
SOUL DOGS INC GROUP PRACTICE
Active
Organization
SOUL DOGS INC GROUP PRACTICE
Active
Parent organization
SOUL DOGS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUL DOGS INC
Authorized official
CHRISTIAN ANDERSON PHD ACSW LCSW (EXECUTIVE DIRECTOR)
(303) 250-2785
Entity
Organization
Contact information
Practice address
5005 W 81ST PL UNIT 201, WESTMINSTER, CO 80031-4380
(303) 250-2785
Mailing address
5005 W 81ST PL UNIT 201, WESTMINSTER, CO 80031-4380
(303) 250-2785
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427454289
—
CO
05
—
1851946099
—
CO
Enumeration date
01/27/2022
Last updated
01/27/2022
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