Individual
DIANNE DRAKE FOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
THE INN AT SILVER CREEK, 62927 US-40, GRANBY, 80446, CO 80446
(303) 921-5125
Mailing address
PO BOX 959, GRAND LAKE, CO 80447-0959
(303) 921-5125
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0011924
CO
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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