Organization
FINDING HIAWATHA RANCH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE L MABEN LPC (PRESIDENT)
(720) 530-7579
Entity
Organization
Contact information
Practice address
1255 LEE ST, LAKEWOOD, CO 80215-4542
(720) 530-7579
Mailing address
1255 LEE ST, LAKEWOOD, CO 80215-4542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447709308
—
CO
Enumeration date
05/16/2020
Last updated
05/16/2020
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