Organization
CHRYSALIS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WILKINSON MA LPC (OWNER)
(970) 403-5054
Entity
Organization
Contact information
Practice address
2243 MAIN AVE # 4D, DURANGO, CO 81301-4699
(970) 403-5054
Mailing address
99 WALKER LN, DURANGO, CO 81303-6684
(970) 403-5054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0012445
CO
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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