Organization
SUSANNE NEAL DBA CLEARWATER COUNSELING
Active
Other names
Clearwater Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNE BRIDGETTE NEAL LPC LAC (OWNER- LICENCES PROFESSIONAL OCUNSE)
(719) 293-0750
Entity
Organization
Contact information
Practice address
1206 HARRISON AVE, LEADVILLE, CO 80461-3327
(719) 293-0750
Mailing address
PO BOX 759, LEADVILLE, CO 80461-0759
(719) 293-0750
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014244
—
CO
Enumeration date
07/25/2022
Last updated
07/25/2022
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