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Individual

AUTUMN ASCANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
JD, MS

Contact information

Practice address
1257 LAKE PLAZA DR STE 200, COLORADO SPRINGS, CO 80906-3561
(719) 219-8626
Mailing address
PO BOX 60203, COLORADO SPRINGS, CO 80960-0203
(719) 219-8626

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC.0015307
CO

Other

Enumeration date
05/02/2017
Last updated
05/11/2021
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