De Novo Wellness Center LLC

NPI #1417718230 in Canon City, Colorado

Provider Information

NPI Number: 1417718230
Entity Type: Organization
Organization Name: De Novo Wellness Center LLC
Primary Specialty: Counselor
Enumeration Date: Jan 18, 2024
Last Updated: Jan 18, 2024

Practice Location

Address: 1005 N 10TH ST
City: Canon City
State: Colorado
ZIP Code: 81212-3035
Phone: (719) 400-8836

Authorized Official

Name: AMANDA UNION, LPC
Title: OWNER
Phone: (719) 400-8836

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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