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Organization

INSIDE OUT COUNSELING PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN R DENGLER LCSW, PHD (PSYCHOTHERAPIST)
(717) 250-9569
Entity
Organization

Contact information

Practice address
44 E SPAULDING AVE, BUILDING 3, SUITE 1, PUEBLO WEST, CO 81007-1668
(719) 250-9569
(719) 547-7869
Mailing address
PO BOX 7567, PUEBLO WEST, CO 81007-0567
(719) 250-9569
(719) 547-7869

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
991618
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152760
CO
Enumeration date
04/16/2007
Last updated
02/10/2017
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