Organization
CREATIVE MIND PSYCHOTHERAPY PLLC
Active
Organization
CREATIVE MIND PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA L WYNN LMFT (OWNER)
(912) 610-2107
Entity
Organization
Contact information
Practice address
5035 LANGDALE WAY, COLORADO SPRINGS, CO 80906-7673
(912) 610-2107
Mailing address
5035 LANGDALE WAY, COLORADO SPRINGS, CO 80906-7673
(912) 610-2107
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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