Organization
LIFE UNTANGLED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE DAWN SOUCIE MS, LPC (LICENSED PROFESSIONAL COUNSELOR)
(970) 520-0738
Entity
Organization
Contact information
Practice address
330 W MAIN ST STE B, STERLING, CO 80751-3177
(970) 520-0738
Mailing address
330 W MAIN ST STE B, STERLING, CO 80751-3177
(970) 520-0738
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
CO
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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