Sodawellness

NPI #1649633785 in Basalt, Colorado

Provider Information

NPI Number
1649633785
Entity Type
Organization
Organization Name
Sodawellness
Primary Specialty
Counselor - Professional
Enumeration Date
Apr 4, 2016
Last Updated
Apr 4, 2016

Practice Location

Address
174 MIDLAND AVE
City
Basalt
ZIP Code
81621-8911
Phone
(303) 489-0420

Authorized Official

Name
JAMES SODA, M.A, LPC, LAC
Title
OWNER
Phone
(303) 489-0420

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - ProfessionalProfessional

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