Individual
CARISSA JEAN RUBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MFTC
Contact information
Practice address
6330 FARTHING DR, COLORADO SPRINGS, CO 80906-7504
(303) 656-0813
Mailing address
6330 FARTHING DR, COLORADO SPRINGS, CO 80906-7504
(303) 656-0813
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTC0013475
CO
Other
Enumeration date
03/14/2015
Last updated
03/14/2015
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