Organization
ANTLERS CREEK COUNSELING CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE M MARTINEZ-EPPERSON LCSW, CACII (LICENSED CLINICAL SOCIAL WORKER)
(719) 394-8797
Entity
Organization
Contact information
Practice address
12106 RIO SECCO RD, PEYTON, CO 80831-4032
(719) 220-8662
Mailing address
12106 RIO SECCO RD, PEYTON, CO 80831-4032
(719) 394-8797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09923654
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1911930832
—
CO
Enumeration date
09/10/2018
Last updated
02/18/2019
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