| Canon City Counseling & Psychotherapy Services | |
|
109 Latigo Ln Suite E-2 Canon City CO 81212-8112 | |
| (719) 275-4442 | |
| (719) 275-4442 |
| Full Name | Canon City Counseling & Psychotherapy Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 109 Latigo Ln, Canon City, Colorado |
| Authorized Official Name and Position | John A Morlock (PRESIDENT) |
| Authorized Official Contact | 7192754442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canon City Counseling & Psychotherapy Services 109 Latigo Ln Suite E-2 Canon City CO 81212-8112 Ph: (719) 275-4442 | Canon City Counseling & Psychotherapy Services 109 Latigo Ln Suite E-2 Canon City CO 81212-8112 Ph: (719) 275-4442 |
| NPI Number | 1932261617 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932261617 | NPI | - | NPPES |
| 992271 | Other | CO | LCSW LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 992271 (Colorado) | Primary |
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