| Innate Potential | |
|
27905 Meadow Dr Unit 11 Evergreen CO 80439-2110 | |
| (303) 335-9118 | |
| (866) 458-0456 |
| Full Name | Innate Potential |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 27905 Meadow Dr Unit 11, Evergreen, Colorado |
| Authorized Official Name and Position | Malissa Trojan (OWNER/THERAPIST) |
| Authorized Official Contact | 3033359118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innate Potential 27905 Meadow Dr Unit 11 Evergreen CO 80439-2110 Ph: (303) 335-9118 | Innate Potential 27905 Meadow Dr Unit 11 Evergreen CO 80439-2110 Ph: (303) 335-9118 |
| NPI Number | 1811601792 |
|---|---|
| Provider Enumeration Date | 01/06/2023 |
| Last Update Date | 01/06/2023 |
| Certification Date | 01/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811601792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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