TISZA RUTHERFORD

LOVELAND, CO
NPI1275958456
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACC.0006814)
Enumeration Date2014-02-25
Last Update Date2014-02-25
Business Address
-- TISZA RUTHERFORD CAC III
1250 N WILSON AVE
LOVELAND, CO 80537-4461
Phone number: 970-494-9870
Mailing Address
-- TISZA RUTHERFORD CAC III
125 CRESTRIDGE ST
FORT COLLINS, CO 80525-3934
Phone number: 970-494-9761