| Mountain Mind Therapy Llc | |
|
610 Main St Frisco CO 80443-5487 | |
| (970) 306-6760 | |
| Not Available |
| Full Name | Mountain Mind Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 610 Main St, Frisco, Colorado |
| Authorized Official Name and Position | Jacqueline Black (LPCC) |
| Authorized Official Contact | 9703066760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Mind Therapy Llc Po Box 6463 Breckenridge CO 80424-6463 Ph: (207) 807-9145 | Mountain Mind Therapy Llc 610 Main St Frisco CO 80443-5487 Ph: (970) 306-6760 |
| NPI Number | 1114814209 |
|---|---|
| Provider Enumeration Date | 06/20/2025 |
| Last Update Date | 06/20/2025 |
| Certification Date | 06/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114814209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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