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Organization

COLORADO SOUL CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEE ANN CHADRICK MA, MFTC (OWNER, MARRIAGE & FAMILY THERAPIST)
(937) 409-4203
Entity
Organization

Contact information

Practice address
5650 GREENWOOD PLAZA BLVD, #202, GREENWOOD VILLAGE, CO 80111-2307
(937) 409-4203
Mailing address
24562 E EASTER PL, AURORA, CO 80016-4105
(937) 409-4203

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
13541
CO
251S00000X
Community/Behavioral Health Agency
13541
CO

Other

Enumeration date
10/16/2015
Last updated
10/16/2015
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