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19590 E Mainstreet Ste 202 Parker CO 80138-7371 | |
| (720) 593-8180 | |
| (720) 647-3515 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 19590 E Mainstreet Ste 202, Parker, Colorado |
| Authorized Official Name and Position | Ashley Moore (OWNER) |
| Authorized Official Contact | 7207903988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
19590 E Mainstreet Ste 202 Parker CO 80138-7371 Ph: (720) 790-3988 | 19590 E Mainstreet Ste 202 Parker CO 80138-7371 Ph: (720) 593-8180 |
| NPI Number | 1386497758 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 01/28/2025 |
| Certification Date | 01/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386497758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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