Experiential Family Therapy And Training Center, Llc | |
7175 W Jefferson Ave Ste 1200 Lakewood CO 80235-2380 | |
(720) 757-1988 | |
(720) 306-5522 |
Full Name | Experiential Family Therapy And Training Center, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 7175 W Jefferson Ave Ste 1200, Lakewood, Colorado |
Authorized Official Name and Position | Lacie Killion (OWNER/DIRECTOR) |
Authorized Official Contact | 7207571988 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Experiential Family Therapy And Training Center, Llc 2974 W Chenango Ave Englewood CO 80110-6308 Ph: (720) 757-1988 | Experiential Family Therapy And Training Center, Llc 7175 W Jefferson Ave Ste 1200 Lakewood CO 80235-2380 Ph: (720) 757-1988 |
NPI Number | 1891394177 |
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Provider Enumeration Date | 10/19/2020 |
Last Update Date | 10/19/2020 |
Certification Date | 10/19/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891394177 | NPI | - | NPPES |
ACA.0001175 | Other | CO | LICENSED ADDICTION COUNSELOR |
1356798078 | Other | INDIVIDUAL NPI | |
MFT.0001840 | Other | CO | MARRIAGE AND FAMILY THERAPIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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