| The Parent-child Interaction Center Llc | |
|
375 E Horsetooth Rd Bldg 3 Suite 101 Fort Collins CO 80525-3155 | |
| (970) 472-1207 | |
| (970) 493-1305 |
| Full Name | The Parent-child Interaction Center Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 375 E Horsetooth Rd, Fort Collins, Colorado |
| Authorized Official Name and Position | Sarah Therese Carlson (OWNER/THERAPIST) |
| Authorized Official Contact | 9704721207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Parent-child Interaction Center Llc 375 E Horsetooth Rd Bldg 3 Suite 101 Fort Collins CO 80525-3155 Ph: (970) 472-1207 | The Parent-child Interaction Center Llc 375 E Horsetooth Rd Bldg 3 Suite 101 Fort Collins CO 80525-3155 Ph: (970) 472-1207 |
| NPI Number | 1306090758 |
|---|---|
| Provider Enumeration Date | 11/12/2008 |
| Last Update Date | 05/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306090758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4838 (Colorado) | Secondary |
| 106H00000X | Marriage & Family Therapist | 806 (Colorado) | Primary |
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