Turquoise Trail Therapy LLC
NPI #1124725130 in Canon City, Colorado
Provider Information
- NPI Number
- 1124725130
- Entity Type
- Organization
- Organization Name
- Turquoise Trail Therapy LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 9, 2023
- Last Updated
- Mar 2, 2023
Practice Location
- Address
- 1191 CANON RIDGE RD
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-9163
- Phone
- (719) 276-2550
Authorized Official
- Name
- MARY ANNA SHORTER-KING, LCSW
- Title
- MANAGING MEMBER
- Phone
- (719) 276-2550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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