| NPI | 1144020322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED WASHBURN Owner 970-795-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |