| Fresh Water Counseling, Llc | |
|
3230 E Woodmen Rd Ste 110a Colorado Springs CO 80920-8502 | |
| (719) 301-9532 | |
| Not Available |
| Full Name | Fresh Water Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3230 E Woodmen Rd Ste 110a, Colorado Springs, Colorado |
| Authorized Official Name and Position | John Favara (OWNER) |
| Authorized Official Contact | 3038957874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Water Counseling, Llc 5390 Balsam St Colo Spgs CO 80923-5104 Ph: () - | Fresh Water Counseling, Llc 3230 E Woodmen Rd Ste 110a Colorado Springs CO 80920-8502 Ph: (719) 301-9532 |
| NPI Number | 1407499379 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 10/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407499379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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