| Unharnessed Potential | |
|
8655 Kane Rd Fountain CO 80817-3339 | |
| (913) 269-6120 | |
| (719) 434-8867 |
| Full Name | Unharnessed Potential |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8655 Kane Rd, Fountain, Colorado |
| Authorized Official Name and Position | Erin M Slivka (OWNER) |
| Authorized Official Contact | 9132696120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unharnessed Potential 8655 Kane Rd Fountain CO 80817-3339 Ph: (913) 269-6120 | Unharnessed Potential 8655 Kane Rd Fountain CO 80817-3339 Ph: (913) 269-6120 |
| NPI Number | 1912725961 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912725961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
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