Organization
INTERMODAL INTERVENTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN ASCANO JD, MS (OWNER)
(719) 219-8626
Entity
Organization
Contact information
Practice address
422 E VERMIJO AVE STE 306, COLORADO SPRINGS, CO 80903-3779
(719) 219-8626
Mailing address
PO BOX 60203, COLORADO SPRINGS, CO 80960-0203
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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