Organization
GREEN THUMB INITIATIVE
Active
Other names
GTI
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MONAHAN (BUSINESS DIRECTOR)
(719) 792-9431
Entity
Organization
Contact information
Practice address
613 MAIN ST STE 10, CANON CITY, CO 81212-3776
(719) 792-9431
Mailing address
1012 MAIN ST, CANON CITY, CO 81212-3465
(719) 792-9431
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/30/2024
Last updated
07/21/2024
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