Organization
SOUL DOGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN ANDERSON PHD ACSW LCSW CCTS (EXECUTIVE DIRECTOR)
(303) 250-2785
Entity
Organization
Contact information
Practice address
5005 W 81ST PL UNIT 200, WESTMINSTER, CO 80031-4380
(303) 250-2785
Mailing address
5005 W 81ST PL UNIT 200, WESTMINSTER, CO 80031-4380
(303) 250-2785
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000178708
—
CO
Enumeration date
08/05/2019
Last updated
12/15/2021
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