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Organization

AUGUST ADVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VINCENT BRUNO LPC (OWNER)
(719) 453-5780
Entity
Organization

Contact information

Practice address
5540 N ACADEMY BLVD STE 210, COLORADO SPRINGS, CO 80918-3696
(719) 330-3366
(719) 212-1671
Mailing address
19955 E TOP O THE MOOR DR, MONUMENT, CO 80132-9313
(719) 453-5780
(719) 653-9946

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LPC0005002
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
98000150866
CO
Enumeration date
07/27/2017
Last updated
04/06/2022
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