Organization
A CARING CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH FAY VISNACK MA LPC (OWNER SOLE PROPRIETOR)
(719) 276-0801
Entity
Organization
Contact information
Practice address
1335 PHAY AVE, STE E, CANON CITY, CO 81212
(719) 276-0801
Mailing address
1335 PHAY AVE, STE E, CANON CITY, CO 81212
(719) 276-0801
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
4116
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475954
—
CO
Enumeration date
11/08/2007
Last updated
09/17/2008
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