| Soulterra Cousnseling P.l.l.c | |
|
1509 Foster Ct Longmont CO 80501-6713 | |
| (303) 332-1037 | |
| Not Available |
| Full Name | Soulterra Cousnseling P.l.l.c |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1509 Foster Ct, Longmont, Colorado |
| Authorized Official Name and Position | Stephanie Jane Boulton (OWNER/PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8018728030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulterra Cousnseling P.l.l.c 1509 Foster Ct Longmont CO 80501-6713 Ph: (303) 332-1037 | Soulterra Cousnseling P.l.l.c 1509 Foster Ct Longmont CO 80501-6713 Ph: (303) 332-1037 |
| NPI Number | 1629859566 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629859566 | NPI | - | NPPES |
| 1447911201 | Other | CO | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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