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10190 Bannock Street Suite 109 Northglenn CO 80260 | |
| (303) 656-1203 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10190 Bannock Street, Northglenn, Colorado |
| Authorized Official Name and Position | Tania Sossi (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3036561203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10190 Bannock Street Suite 109 Northglenn CO 80260 Ph: (303) 656-1203 | 10190 Bannock Street Suite 109 Northglenn CO 80260 Ph: (303) 656-1203 |
| NPI Number | 1770031122 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770031122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC.00011978 (Colorado) | Primary |
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