Organization
COMMUNITY REACH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACELL ANN WEISS (PROGAM MANAGER)
(303) 853-3697
Entity
Organization
Contact information
Practice address
8989 HURON ST, THORNTON, CO 80260-6858
(303) 853-3697
Mailing address
13293 NIWOT TRL, BROOMFIELD, CO 80020-5580
(202) 543-3894
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 502
CO
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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