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Organization
LIFE COMPASS COUNSELING LLC
Active
Organization
LIFE COMPASS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER MARIE VANHOVE LCSW (OWNER)
(719) 431-9050
Entity
Organization
Contact information
Practice address
831 ROYAL GORGE BLVD, SUITE 226, CANON CITY, CO 81212-6709
(719) 431-9050
Mailing address
831 ROYAL GORGE BLVD, SUITE 226, CANON CITY, CO 81212-6709
(719) 431-9050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09923502
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12774090
CAQH
—
05
—
16976223
—
CO
Enumeration date
11/20/2014
Last updated
07/21/2022
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