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Organization
MISFIT ADDICTION COUNSELING
Active
Organization
MISFIT ADDICTION COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH MASON MA CAS (OWNER/ LEAD COUNSELOR)
(970) 403-5198
Entity
Organization
Contact information
Practice address
12300 HIGHWAY 491, CORTEZ, CO 81321-9398
(970) 403-5198
Mailing address
12300 HIGHWAY 491, CORTEZ, CO 81321-9398
(970) 403-5198
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
01/28/2024
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