Organization
FAMILY FOUNDATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW JACKSON JARVIES (PROGRAM DIRECTOR)
(719) 298-8222
Entity
Organization
Contact information
Practice address
105 S 5TH ST, MANASSA, CO 81141-5148
(719) 298-8222
Mailing address
PO BOX 657, MANASSA, CO 81141-0657
(719) 298-8222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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