Organization
FAMILIES AT FIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE MURIEL MUCKLOW L.M.F.T. (DIRECTOR)
(303) 781-5045
Entity
Organization
Contact information
Practice address
7241 S FULTON ST, CENTENNIAL, CO 80112-3725
(720) 488-3822
Mailing address
7241 S FULTON ST, CENTENNIAL, CO 80112-3725
(720) 488-3822
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1560-01
CO
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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