Individual
PHILIP JONATHAN MAES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LMFT
Contact information
Practice address
13 SILVER SPRUCE DR, SALIDA, CO 81201-9483
(719) 530-1224
Mailing address
PO BOX 1015, SALIDA, CO 81201-1015
(719) 530-1224
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 355
CO
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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