Organization
CANDACE BOLZ THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE BOLZ LCSW, LAC (OWNER/THERAPIST)
(719) 354-5237
Entity
Organization
Contact information
Practice address
18285 ROLLER COASTER RD # 80132, MONUMENT, CO 80132-8352
(719) 354-5237
Mailing address
18285 ROLLER COASTER RD # 80132, MONUMENT, CO 80132-8352
(303) 875-7438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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