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Organization
LIFE COUNSELING AND CONSULTING, PLLC
Active
Organization
LIFE COUNSELING AND CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIFE COUNSELING AND CONSULTING PLLC (MANAGER)
(605) 941-6660
Entity
Organization
Contact information
Practice address
831 ROYAL GORGE BLVD, SUITE 217, CANON CITY, CO 81212-6709
(719) 722-2722
(719) 452-3752
Mailing address
831 ROYAL GORGE BLVD, SUITE 217, CANON CITY, CO 81212-6709
(719) 722-2722
(719) 452-3752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD40000646
CO
1041C0700X
Clinical Social Worker
Primary
CSW09923604
CO
Other
Enumeration date
11/18/2016
Last updated
04/23/2017
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