Healthcare Provider Details

I. General information

NPI: 1144183567
Provider Name (Legal Business Name): LOOKING GLASS COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 LINCOLN AVE
STEAMBOAT SPRINGS CO
80487-5014
US

IV. Provider business mailing address

PO BOX 538
OAK CREEK CO
80467-0538
US

V. Phone/Fax

Practice location:
  • Phone: 970-310-4332
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER FULLER
Title or Position: OWNER
Credential:
Phone: 970-310-4332