Individual
MARK HOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA, LPC
Contact information
Practice address
1399 COCHITA ST, CORTEZ, CO 81321
(970) 946-1539
Mailing address
23 S BEECH ST STE B102, CORTEZ, CO 81321-3751
(970) 946-1539
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106H00000X
Marriage & Family Therapist
738
CO
Other
Enumeration date
06/27/2011
Last updated
07/17/2018
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