Organization
MARISOL HEALTH INC. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE MCINTOSH LCSW (VICE PRESIDENT)
(720) 799-9247
Entity
Organization
Contact information
Practice address
1221 W ELIZABETH ST, FORT COLLINS, CO 80521-4508
(303) 731-6130
Mailing address
6240 SMITH RD, DENVER, CO 80216-4632
(720) 799-9247
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
08/29/2023
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