Organization
BOULDER AND THE PINE WELLNESS
Active
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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