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Organization
PSYCHOTHERAPY
Active
Organization
PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL NASSAR (LPC)
(970) 310-3406
Entity
Organization
Contact information
Practice address
320 W OLIVE ST, FORT COLLINS, CO 80521-2716
(970) 310-3406
Mailing address
320 W OLIVE ST, FORT COLLINS, CO 80521-2716
(970) 310-3406
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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