Individual
MS. GENESA TARA FALCAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
320 W OLIVE ST, FORT COLLINS, CO 80521-2716
(720) 582-3570
Mailing address
320 W OLIVE ST, FORT COLLINS, CO 80521-2716
(720) 582-3570
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/25/2013
Last updated
05/08/2017
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