Organization
MINDFULNESS MATTERS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY BUNDY-FAZIOLI PH.D., LCSW (DIRECTOR)
(970) 302-1796
Entity
Organization
Contact information
Practice address
557 FOREST HILLS DRIVE, BRECKENRIDGE, CO 80424
(970) 302-1796
Mailing address
PO BOX 3699, BRECKENRIDGE, CO 80424-3699
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
295
CO
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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