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Organization

ASPIRE 365 COLORADO LLC

Active
Other names
Aspire365, LLC, Aspire 365 Colorado
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEN A JENSON (MANAGER)
(719) 229-2046
Entity
Organization

Contact information

Practice address
755 HIGHWAY 105 STE D, PALMER LAKE, CO 80133-8902
(719) 229-2046
Mailing address
9350 S 150 E STE 320, SANDY, UT 84070-2707
(385) 352-9696

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103TA0400X
Addiction (Substance Use Disorder) Psychologist
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
207QA0401X
Addiction Medicine (Family Medicine) Physician
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician

Other

Enumeration date
01/23/2020
Last updated
10/14/2024
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