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Organization
WINGS OF HOPE COUNSELING SERVICES, PLLC
Active
Organization
WINGS OF HOPE COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIMOTHY R PEARSON LPC ; CAC III (DIRECTOR)
(719) 275-8714
Entity
Organization
Contact information
Practice address
1335 PHAY AVE, CANON CITY, CO 81212-2334
(877) 582-7839
(877) 562-7839
Mailing address
PO BOX 521, CANON CITY, CO 81215-0521
(877) 582-7839
(877) 582-7839
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7038
CO
101YP2500X
Professional Counselor
4723
CO
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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