Organization
EMPOWERING SYSTEMIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN SELVIG LCSW (LEAD CLINICIAN)
(303) 960-4822
Entity
Organization
Contact information
Practice address
80 GARDEN CTR, BROOMFIELD, CO 80020-7087
(303) 960-4822
Mailing address
80 GARDEN CTR, BROOMFIELD, CO 80020-7087
(303) 960-4822
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1686
CO
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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