Organization Name: | INSIDE OUT COUNSELING PC |
NPI Number: | 1447475280 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN R DENGLER (PSYCHOTHERAPIST) |
Mailing Address: | 44 E Spaulding Ave Building 3, Suite 1 Pueblo West |
State: | CO US |
Postal Code: | 810071668 |
Phone Number: | 7192509569 |
Fax Number: | 7195477869 |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 991618 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |