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Individual

KAREN S MORGENTHALER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LAC

Contact information

Practice address
2429 S PRAIRIE AVE, PUEBLO, CO 81005-2886
(719) 564-5070
(719) 896-2874
Mailing address
2429 S PRAIRIE AVE, PUEBLO, CO 81005-2886
(719) 564-5070
(719) 896-2874

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
214
CO
1041C0700X
Clinical Social Worker
Primary
2043
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
49005740
CO
Enumeration date
12/22/2011
Last updated
09/27/2019
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