Individual
JASE ALAN MAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
28350 COUNTY ROAD 317 UNIT 11, BUENA VISTA, CO 81211-9261
(719) 395-4673
Mailing address
PO BOX 4730, BUENA VISTA, CO 81211-4730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0022077
CO
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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