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Organization
SUMMIT COUNSELING
Active
Organization
SUMMIT COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN DELIA AVOY LCSW (OWNER)
(719) 310-0247
Entity
Organization
Contact information
Practice address
25 N WAHSATCH AVE, SUITE 203, COLORADO SPRINGS, CO 80903-3490
(719) 310-0247
(719) 684-7703
Mailing address
25 N WAHSATCH AVE, SUITE 203, COLORADO SPRINGS, CO 80903-3490
(719) 310-0247
(719) 684-7703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
991890
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104816693
LCSW
CO
Enumeration date
02/14/2012
Last updated
02/14/2012
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