Organization
A NEW LEAF THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGAN YOUNG LCSW, CACIII (OWNER/PSYCHOTHERAPIST)
(719) 948-7120
Entity
Organization
Contact information
Practice address
327 COLORADO AVE, PUEBLO, CO 81004
(719) 948-7120
(719) 289-7144
Mailing address
6192 MUDDY CREEK RD, PUEBLO, CO 81004-9747
(719) 948-7120
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1759
CO
251S00000X
Community/Behavioral Health Agency
6858
CO
Other
Enumeration date
04/13/2015
Last updated
07/18/2018
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