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Organization
CREST COUNSELING SERVICES
Active
Organization
CREST COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HARRIS (PRESIDENT & CLINICAL DIRECTOR)
(719) 207-4163
Entity
Organization
Contact information
Practice address
222 1/2 F ST, SALIDA, CO 81201-2141
(719) 207-4163
Mailing address
222 1/2 F ST, SALIDA, CO 81201-2141
(719) 207-4163
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB0007993
CO
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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