Organization
PONDEROSA COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE LEE REEDER NP (NURSE PRACTITIONER)
(720) 951-1476
Entity
Organization
Contact information
Practice address
19753 E PIKES PEAK AVE, SUITE 202, PARKER, CO 80138
(720) 542-3487
(720) 542-3566
Mailing address
19753 E PIKES PEAK AVE STE 202, PARKER, CO 80138-7435
(720) 542-3487
(720) 542-3566
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0004453-NP
CO
Other
Enumeration date
08/27/2017
Last updated
07/21/2022
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