Organization
MAP AND THE MIRROR COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAE CENTANNI SHAFFNER LCSW (OWNER)
(225) 571-4404
Entity
Organization
Contact information
Practice address
911 TWO RIVERS DR, TELLURIDE, CO 81435-9152
(225) 571-4404
Mailing address
911 TWO RIVERS DR, TELLURIDE, CO 81435-9152
(225) 571-4404
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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