Organization
JET RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALETHA SENECAL LSW, CAS (DIRECTOR)
(719) 431-9831
Entity
Organization
Contact information
Practice address
1250 SHORT ST, CANON CITY, CO 81212-4462
(719) 431-9831
Mailing address
1250 SHORT ST, CANON CITY, CO 81212-4462
(719) 431-9831
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/16/2025
Last updated
11/05/2025
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