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Organization

MY QUALITY LIFE COUNSELING, LLC

Active
Other names
My Quality Life Counseling, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA M. RUNZO LPC, LMFT (THERAPIST AND OWNER)
(719) 695-0757
Entity
Organization

Contact information

Practice address
1864 WOODMOOR DR STE 202, MONUMENT, CO 80132-7464
(719) 695-0757
(719) 532-9576
Mailing address
1864 WOODMOOR DR STE 202, MONUMENT, CO 80132-7464
(719) 695-0757
(719) 532-9576

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFT.0001193
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000163731
CO
Enumeration date
08/15/2018
Last updated
08/15/2018
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