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Organization

CANON CITY COUNSELING, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SALLY JEAN CHAPMAN LPC (PRESIDENT)
(719) 276-0292
Entity
Organization

Contact information

Practice address
224 N COTTONWOOD AVE, CANON CITY, CO 81212-2507
(719) 276-0292
(719) 276-0292
Mailing address
224 N COTTONWOOD AVE, CANON CITY, CO 81212-2507
(719) 276-0292
(719) 276-0292

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5044
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
6391
CO
101YP2500X
Professional Counselor
Primary
2425
CO
101YP2500X
Professional Counselor
3037
CO

Other

Enumeration date
08/20/2008
Last updated
08/20/2008
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