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Organization
NEW FRONTIERS COUNSELING LLC
Active
Organization
NEW FRONTIERS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW C BANACH LCSW (OWNER)
(719) 217-4609
Entity
Organization
Contact information
Practice address
105 S MAIN ST, FOUNTAIN, CO 80817-2215
(719) 217-4609
(719) 362-4281
Mailing address
105 S MAIN ST, FOUNTAIN, CO 80817-2215
(719) 217-4609
(719) 204-3829
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
08/06/2024
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