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Organization
REACHING HANDS AS EACH ONE TEACHINGS ONE
Active
Organization
REACHING HANDS AS EACH ONE TEACHINGS ONE
Active
Other names
R.H.E.O.T.O
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN YUMA BRANNON DMIN, CMIT, CCBT (LEAD CLINICIAN)
(719) 999-5054
Entity
Organization
Contact information
Practice address
4720 GALLEY RD, COLORADO SPRINGS, CO 80915-2735
(719) 999-5054
Mailing address
4720 GALLEY RD, COLORADO SPRINGS, CO 80915-2735
(719) 999-5054
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942710546
BLUE CROSS BLUE SHIELD
CO
05
—
1942710546
—
CO
Enumeration date
10/01/2019
Last updated
10/01/2019
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