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Organization

CONVERGE LECTURE SERIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL STEPHENSON MSW (EXECUTIVE DIRECTOR)
(719) 210-3726
Entity
Organization

Contact information

Practice address
601 S INSTITUTE ST UNIT 3, COLORADO SPRINGS, CO 80903-4743
(719) 210-3726
Mailing address
601 S INSTITUTE ST UNIT 3, COLORADO SPRINGS, CO 80903-4743
(719) 210-3726

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/27/2021
Last updated
01/27/2021
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