Individual
MARY QUESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4115 BOARDWALK DR, FORT COLLINS, CO 80525-5945
(206) 765-7528
Mailing address
4115 BOARDWALK DR, FORT COLLINS, CO 80525-5945
(206) 765-7528
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NLC.0103427
CO
106H00000X
Marriage & Family Therapist
MFT.0001341
CO
Other
Enumeration date
09/16/2014
Last updated
12/06/2016
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