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Organization
KIDS CROSSING
Active
Organization
KIDS CROSSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LEE OESTERLE (EXECUTIVE DIRECTOR)
(719) 510-6659
Entity
Organization
Contact information
Practice address
414 BROADWAY AVE, PUEBLO, CO 81004-2128
(719) 545-3382
(719) 632-6573
Mailing address
1440 E FOUNTAIN BLVD, COLORADO SPRINGS, CO 80910-3502
(719) 632-4569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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