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Organization

MOUNTAIN LAKE ASSOCIATES,PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BEVERLY A HAWPE LPC, LAC (PRESIDENT)
(719) 686-8560
Entity
Organization

Contact information

Practice address
724 N TEJON ST, COLORADO SPRINGS, CO 80903-1012
(719) 686-8560
(719) 227-7745
Mailing address
333 W. LAKE ST, SUITE 2E, WOODLAND PARK, CO 80863
(719) 686-8560
(719) 227-7745

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
242
CO

Other

Enumeration date
04/19/2006
Last updated
08/22/2020
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