Individual
DR. MARTY JAY REIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC, CAC III
Contact information
Practice address
317 WALNUT ST, FORT COLLINS, CO 80524-2438
(970) 829-7399
Mailing address
600 COOK DR, FORT COLLINS, CO 80521-3313
(970) 829-7399
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC-7103
CO
101YM0800X
Mental Health Counselor
LPC-5666
CO
Other
Enumeration date
02/23/2011
Last updated
08/24/2015
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