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Organization
VIVUS COUNSELING SERVICES LLC
Active
Organization
VIVUS COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERONILDE CHAVES BUCKLEY MA, LPC, LAC (LICENSED PROFESSIONAL COUNSELOR)
(719) 359-3431
Entity
Organization
Contact information
Practice address
108 EAST CHEYENNE RD SUITE 201, COLORADO SPRINGS, CO 80906
(719) 359-3431
Mailing address
108 E CHEYENNE RD STE 201, COLORADO SPRINGS, CO 80906-2535
(719) 359-3431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0000874
CO
101YP2500X
Professional Counselor
Primary
0014711
CO
Other
Enumeration date
09/01/2018
Last updated
10/31/2018
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