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Organization
DEAF MOUNTAIN, PLLC
Active
Organization
DEAF MOUNTAIN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA DALEN (OWNER)
(719) 425-3374
Entity
Organization
Contact information
Practice address
2790 N ACADEMY BLVD STE 337, COLORADO SPRINGS, CO 80917-5328
(719) 445-6104
Mailing address
2790 N ACADEMY BLVD STE 337, COLORADO SPRINGS, CO 80917-5328
(719) 445-0614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/10/2023
Last updated
06/20/2024
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