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Organization

PEAK THERAPEUTIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN RICHARD BOGSTAD (OWNER)
(951) 837-3722
Entity
Organization

Contact information

Practice address
6760 CORPORATE DR STE 140, COLORADO SPRINGS, CO 80919-5910
(951) 837-3722
(719) 631-0720
Mailing address
6760 CORPORATE DR STE 140, COLORADO SPRINGS, CO 80919-5910
(951) 837-3722
(719) 631-0720

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000155112
CO
Enumeration date
10/01/2018
Last updated
02/21/2022
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