NPI | 1740165307 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA ROCHELLE RADDATZ Owner/Clinical Supervisor/Clinician 303-883-0429 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2025-08-11 |
Last Update Date | 2025-08-11 |