Organization
BRAIN WAVES LLC
Active
Other names
Brain Waves
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY ROGERS (OWNER AND THERAPIST)
(719) 432-9222
Entity
Organization
Contact information
Practice address
4570 HILTON PKWY STE 202D, COLORADO SPRINGS, CO 80907-3566
(719) 432-9222
Mailing address
4570 HILTON PKWY STE 202D, COLORADO SPRINGS, CO 80907-3566
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
08/07/2020
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