Organization
BOULDER AND THE PINE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE ANNE GORLEN LPC (LICENSED PROFESSIONAL COUNSELOR)
(197) 445-6569
Entity
Organization
Contact information
Practice address
4570 HILTON PKWY STE 104, COLORADO SPRINGS, CO 80907-3565
(719) 445-6569
Mailing address
5540 N ACADEMY BLVD STE 210, COLORADO SPRINGS, CO 80918-3696
(719) 445-6569
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407371362
NPPES
—
Enumeration date
06/09/2020
Last updated
01/12/2022
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