is a Mental Health in Canon City, Colorado. practices all healthcare services and medical treatments related to Mental Health. The NPI Number for is 1275743197. The last update date is .
's current location address is 3225 Independence Rd, Canon City, Colorado. You can contact this provider via phone number 7192752351 and fax number 7192699386. The mailing address for is 3225 Independence Rd, Canon City, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3225 Independence Rd, Canon City, Colorado |
| Phone Number | 7192752351 |
| Fax Number | 7192699386 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1275743197 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3225 Independence Rd |
|---|---|
| City | Canon City |
| State | Colorado (CO) |
| Post Code | 812129380 |
| Phone Number | 7192752351 |
| Fax Number | 7192699386 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LPC-1449 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 84288035 | CO | -- |
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