Organization
COMANCHE CROSSING COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA M MADRID MSW, LCSW, LAC, LMFT (OWNER)
(303) 644-4240
Entity
Organization
Contact information
Practice address
190 S 1ST ST, BENNETT, CO 80102-7860
(303) 644-4240
(303) 644-4250
Mailing address
190 S 1ST ST, BENNETT, CO 80102-7860
(303) 644-4240
(303) 644-4250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW00001915
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992046908
—
CO
Enumeration date
04/17/2015
Last updated
01/24/2023
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