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Organization
OUTSIDE REIN, LLC
Active
Organization
OUTSIDE REIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONIQUE JULIA EKKER LPC, LAC (OWNER/THERAPIST)
(719) 235-7473
Entity
Organization
Contact information
Practice address
13576 COUNTY RD 1, FLORISSANT, CO 80816-9001
(719) 235-7473
(719) 748-0196
Mailing address
13576 COUNTY RD 1, FLORISSANT, CO 80816-9001
(719) 235-7473
(719) 748-0196
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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