| Lois J Sandland | |
|
2020 N Academy Blvd Ste 2802020 Colorado Springs CO 80909-1567 | |
| (970) 825-6597 | |
| Not Available |
| Full Name | Lois J Sandland |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2020 N Academy Blvd Ste 2802020, Colorado Springs, Colorado |
| Authorized Official Name and Position | Lois J Sandland (OWNER) |
| Authorized Official Contact | 7192320975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lois J Sandland 484 N Idledale Dr Pueblo West CO 81007-1145 Ph: (719) 232-0975 | Lois J Sandland 2020 N Academy Blvd Ste 2802020 Colorado Springs CO 80909-1567 Ph: (970) 825-6597 |
| NPI Number | 1174127922 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 12/21/2020 |
| Certification Date | 12/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174127922 | NPI | - | NPPES |
| 14974287 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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