Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sacred Self Counseling, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1710614102

Sacred Self Counseling, LLC is an Addiction (Substance Use Disorder) Counselor in Canon City, Colorado. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

107 S 9th St
Canon City, CO 81212-3800
Phone: (719) 221-0959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1710614102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alyssa Klugh — Owner · (719) 221-0959
NPI enumeratedAugust 4, 2022
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022
Mailing address921 Barr Ave, Canon City, CO 81212-2131

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