Organization
SAFESIDE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANAE NELSON LANE LCSW (MANAGER)
(719) 244-3662
Entity
Organization
Contact information
Practice address
2993 BROADMOOR VALLEY RD, SUITE 105C, COLORADO SPRINGS, CO 80906-4471
(719) 244-3662
Mailing address
PO BOX 1085, MONUMENT, CO 80132-1085
(719) 244-3662
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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