Individual
MARAE ENCINIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 23RD AVE, LONGMONT, CO 80501-1114
(303) 245-0123
(303) 245-0119
Mailing address
850 23RD AVE, LONGMONT, CO 80501-1114
(303) 245-0123
(303) 245-0119
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
159701
CO
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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