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Organization
EMDR CENTER OF THE PIKES PEAK REGION, PLLC
Active
Organization
EMDR CENTER OF THE PIKES PEAK REGION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI KUCHARSKI PHD, LMFT-S, LPC (OWNER/OPERATOR)
(719) 360-2440
Entity
Organization
Contact information
Practice address
1326 SHASTA DR, COLORADO SPRINGS, CO 80910-1920
(719) 360-2440
Mailing address
1326 SHASTA DR, COLORADO SPRINGS, CO 80910-1920
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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