Organization
GENESIS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A. GARRISON MA, CAC III (DIRECTOR / PRESIDENT)
(303) 919-5400
Entity
Organization
Contact information
Practice address
415 4TH AVE, HUGO, CO 80821
(719) 743-2459
Mailing address
415 4TH AVE, PO BOX 494, HUGO, CO 80821
(719) 743-2459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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