Sacred Self Counseling, LLC
NPI #1710614102 in Canon City, Colorado
Provider Information
- NPI Number
- 1710614102
- Entity Type
- Organization
- Organization Name
- Sacred Self Counseling, LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 4, 2022
- Last Updated
- Aug 16, 2022
Practice Location
- Address
- 107 S 9TH ST
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-3800
- Phone
- (719) 221-0959
Authorized Official
- Name
- ALYSSA KLUGH, LPC, CAS
- Title
- OWNER
- Phone
- (719) 221-0959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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