| NPI | 1649621046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY MARSHALL BOWMAN Psychotherapist 970-238-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0012110) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |