| Fort Collins Community Clinic Llc | |
|
1507 Riverside Ave Fort Collins CO 80524-4382 | |
| (415) 728-2191 | |
| Not Available |
| Full Name | Fort Collins Community Clinic Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1507 Riverside Ave, Fort Collins, Colorado |
| Authorized Official Name and Position | Julia Maya Chatterjee (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 4157282191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Collins Community Clinic Llc 309 S Loomis Ave Fort Collins CO 80521-2542 Ph: (415) 728-2191 | Fort Collins Community Clinic Llc 1507 Riverside Ave Fort Collins CO 80524-4382 Ph: (415) 728-2191 |
| NPI Number | 1518797943 |
|---|---|
| Provider Enumeration Date | 08/01/2024 |
| Last Update Date | 08/01/2024 |
| Certification Date | 08/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518797943 | NPI | - | NPPES |
| 1750110177 | Other | CO | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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