Organization
INTERMOUNTAIN COUNSELING, PLLC
Active
Other names
Intermountain Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CARLSON LPC (PRESIDENT/DIRECTOR)
(719) 203-9499
Entity
Organization
Contact information
Practice address
6180 LEHMAN DR. STE 100, COLORADO SPRINGS, CO 80918-3444
(719) 357-6031
(719) 691-7005
Mailing address
6180 LEHMAN DR. STE 100, COLORADO SPRINGS, CO 80918-3203
(719) 203-9499
(719) 691-7005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
11/09/2018
Last updated
10/01/2024
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