Organization
ALTITUDE WELLNESS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY DEPLEDGE LCSW (SOCIAL WORK)
(509) 868-3702
Entity
Organization
Contact information
Practice address
6662 GUNPARK DR STE 101, BOULDER, CO 80301-3386
(509) 868-3702
Mailing address
6662 GUNPARK DR STE 101, BOULDER, CO 80301-3386
(509) 868-3702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/12/2021
Last updated
07/10/2024
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