# GENESIS COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124299458
- **Authorized official:** MR. DAVID A. GARRISON MA, CAC III (DIRECTOR / PRESIDENT)
- **Authorized official phone:** (303) 919-5400

## Contact information

- **Practice address:** 6401 E 72ND AVE, SUITE 200, COMMERCE CITY, CO 80022-2084
- **Practice address phone:** (303) 288-0040
- **Practice address fax:** (303) 288-7132
- **Mailing address:** 6401 E 72ND AVE, SUITE 200, COMMERCE CITY, CO 80022-2084
- **Mailing address phone:** (303) 288-0040
- **Mailing address fax:** (303) 288-7132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/14/2008
- **Last updated:** 03/14/2008
