Organization
GOODNEIGHBOR, LLC
Active
Organization
GOODNEIGHBOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVGUENIA GUENTCHEVA LPC (OWNER)
(719) 406-8073
Entity
Organization
Contact information
Practice address
1012 MAIN ST, CANON CITY, CO 81212-3465
(719) 406-8073
Mailing address
503 CANDLEWOOD DR, CANON CITY, CO 81212-2071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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