Individual provider · Type 1 NPI
Jonathan L. Fagerholm
Addiction (Substance Use Disorder) Counselor · Colorado Springs, CO
NPI number
1568975076
Active
Practice location
112 Iowa Ave Ste 4
Colorado Springs, CO 80909-5947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | NLC.0105760 (CO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1568975076
Jonathan L. Fagerholm's National Provider Identifier is 1568975076, issued on Nov 7, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Colorado Springs, CO. The record was last updated on Nov 7, 2017.