Organization
CANON CITY COUNSELING & PSYCHOTHERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A MORLOCK MSW LCSW (PRESIDENT)
(719) 275-4442
Entity
Organization
Contact information
Practice address
109 LATIGO LN, SUITE E-2, CANON CITY, CO 81212-8112
(719) 275-4442
(719) 275-4442
Mailing address
109 LATIGO LN, SUITE E-2, CANON CITY, CO 81212-8112
(719) 275-4442
(719) 275-4442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992271
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
992271
LCSW LICENSE NUMBER
CO
Enumeration date
12/15/2006
Last updated
08/22/2020
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