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Organization
SARAH BRESEKE
Active
Organization
SARAH BRESEKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH BRESEKE PHD (OWNER)
(573) 639-0112
Entity
Organization
Contact information
Practice address
1136 E STUART ST STE 101, FORT COLLINS, CO 80525-1195
(573) 639-0112
Mailing address
616 SYCAMORE ST, FORT COLLINS, CO 80521-1938
(573) 639-0112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC.0004992
CO
261Q00000X
Clinic/Center
0004992
CO
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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