Organization
ASBURY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA ASBURY MSC, CAC III (FOUNDER)
(970) 231-4286
Entity
Organization
Contact information
Practice address
219 W MAGNOLIA ST STE 120, FORT COLLINS, CO 80521-2927
(970) 231-4286
Mailing address
PO BOX 644, FORT COLLINS, CO 80522-0644
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
04/11/2016
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