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Organization

SPERANZA RANCH LLC

Active
Other names
Open Gates @ Speranza Ranch Counseling, Open Gates Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER PIERCE LAC, LADAC (OWNER/ CLINICAL SUPERVISOR)
(719) 210-1460
Entity
Organization

Contact information

Practice address
300 W SOUTH AVE, UNIT 514, WOODLAND PARK, CO 80863-2344
(719) 210-1460
Mailing address
PO BOX 514, WOODLAND PARK, CO 80866-0514
(719) 210-1460

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
04/02/2020
Last updated
12/18/2024
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