Organization
KAITLIN JONES LLC
Active
Other names
Moonrise Therapy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN DOUGLAS LMFT (CO-OWNER AND CLINICAL DIRECTOR)
(970) 613-1315
Entity
Organization
Contact information
Practice address
375 E HORSETOOTH RD BLDG 4201, FORT COLLINS, CO 80525-3198
(970) 999-0440
Mailing address
375 E HORSETOOTH RD BLDG 4201, FORT COLLINS, CO 80525-3198
(970) 999-0440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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