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Organization
SOURCE COUNSELING AND CONTRACTING LLC
Active
Organization
SOURCE COUNSELING AND CONTRACTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN ANNE VACCARELLA MA LPC (OWNER)
(303) 994-0673
Entity
Organization
Contact information
Practice address
9255 W ALAMEDA AVE, UNIT E, LAKEWOOD, CO 80226-2802
(303) 994-0673
Mailing address
9255 W ALAMEDA AVE, UNIT E, LAKEWOOD, CO 80226-2802
(303) 994-0673
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4255
CO
251S00000X
Community/Behavioral Health Agency
4255
CO
Other
Enumeration date
05/02/2007
Last updated
03/16/2012
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