Individual
DR. MICHELE ANITA FARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
333 W DRAKE RD, FORT COLLINS, CO 80526-6320
(970) 218-3548
Mailing address
333 W DRAKE RD, FORT COLLINS, CO 80526-6320
(970) 218-3548
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1709
CO
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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