Individual
RANDALL SCOT REITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1160 PATTERSON RD, GRAND JUNCTION, CO 81506-8275
(970) 298-2800
(970) 298-6902
Mailing address
PO BOX 62, GRAND JUNCTION, CO 81502-0062
(970) 298-2800
(970) 298-1809
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT629
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30179041
—
CO
01
—
MFT629
LMFT
CO
Enumeration date
10/09/2008
Last updated
12/14/2010
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