Organization
NEW COVENANT SOUL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SELLERS LPC (COUNSELOR)
(719) 268-9600
Entity
Organization
Contact information
Practice address
8706 ROYAL LYTHAM CT, PEYTON, CO 80831-4057
(719) 268-9600
Mailing address
8706 ROYAL LYTHAM CT, PEYTON, CO 80831-4057
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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