Organization
CHEYENNE MOUNTAIN COUNSELING & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELODIE K MACK LPC, LMFT (OWNER, COUNSELOR)
(719) 434-1088
Entity
Organization
Contact information
Practice address
108 E CHEYENNE RD STE 206, COLORADO SPRINGS, CO 80906-2535
(719) 434-1088
(719) 434-1166
Mailing address
108 E CHEYENNE RD STE 206, COLORADO SPRINGS, CO 80906-2535
(719) 434-1088
(719) 434-1166
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6389
CO
106H00000X
Marriage & Family Therapist
Primary
1069
CO
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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