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Organization

BURNING SAGE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATRINA NICOLE HEPNER LPC (OWNER/AUTHORIZED OFFICIAL)
(719) 287-2002
Entity
Organization

Contact information

Practice address
2287 GOLDEN GATE GRV, COLORADO SPRINGS, CO 80918-9400
(719) 287-2002
Mailing address
PO BOX 26381, COLORADO SPRINGS, CO 80936-6381
(719) 287-2002

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
04/13/2021
Last updated
09/06/2023
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