Individual
JANA MARIE CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 S. SHIELDS ST. BLD K, FT. COLLINS, CO 80526
(970) 472-4133
Mailing address
2001 S SHIELDS ST BUILDING K, FORT COLLINS, CO 80526-1838
(970) 472-4133
(970) 493-6655
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTC.0013837
CO
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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