| Emdr Center Of The Pikes Peak Region, Pllc | |
|
1326 Shasta Dr Colorado Springs CO 80910-1920 | |
| (719) 360-2440 | |
| Not Available |
| Full Name | Emdr Center Of The Pikes Peak Region, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1326 Shasta Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Lori Kucharski (OWNER/OPERATOR) |
| Authorized Official Contact | 7193602440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emdr Center Of The Pikes Peak Region, Pllc 1326 Shasta Dr Colorado Springs CO 80910-1920 Ph: () - | Emdr Center Of The Pikes Peak Region, Pllc 1326 Shasta Dr Colorado Springs CO 80910-1920 Ph: (719) 360-2440 |
| NPI Number | 1629660097 |
|---|---|
| Provider Enumeration Date | 02/08/2021 |
| Last Update Date | 02/08/2021 |
| Certification Date | 02/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629660097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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