Individual
CRAIG FARNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
227 MIDLAND AVE STE 15B, BASALT, CO 81621-8119
(970) 925-5858
Mailing address
PO BOX 1115, BASALT, CO 81621-1115
(970) 925-5858
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0014652
CO
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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