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Organization
MENTAL HEALTH COUNSELING, PC
Active
Organization
MENTAL HEALTH COUNSELING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE SHERRON MS, LPC (MENTAL HEALTH COUNSELOR)
(719) 395-9454
Entity
Organization
Contact information
Practice address
111 E. STERLING AVE, BUENA VISTA, CO 81211-8121
(710) 395-9454
(719) 395-9454
Mailing address
34077 SURREY LN, BUENA VISTA, CO 81211-8813
(719) 395-2765
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3804
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447378997
INDIVIDUAL-MENTAL HEALTH COUNSELOR
CO
Enumeration date
08/02/2017
Last updated
08/02/2017
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