Organization
COLORADO PROFESSIONAL COUNSELING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL VAN DINTER LCSW (REGISTERED AGENT)
(719) 634-8229
Entity
Organization
Contact information
Practice address
1331 W COLORADO AVE, COLORADO SPRINGS, CO 80904-4078
(719) 634-8229
(719) 634-8218
Mailing address
1331 W COLORADO AVE, COLORADO SPRINGS, CO 80904-4078
(719) 634-8229
(719) 634-8218
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
921
CO
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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