Organization
EQUI-SENSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY L SNYDER (OWNER)
(719) 214-3355
Entity
Organization
Contact information
Practice address
645 4TH ST, PENROSE, CO 81240-9709
(719) 214-3355
(719) 372-3026
Mailing address
645 4TH ST, PENROSE, CO 81240-9709
(719) 214-3355
(719) 372-3026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
831
CO
Other
Enumeration date
08/08/2010
Last updated
08/08/2010
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