Organization · Type 2 NPI
Extreme Sports Camp
Counselor · Basalt, CO
NPI number
1669744637
Active
Practice location
23286 Two Rivers Rd, Suite 24-A
Basalt, CO 81621-9285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 1534517 (CO) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
About NPI 1669744637
Extreme Sports Camp's National Provider Identifier is 1669744637, issued on Feb 6, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Basalt, CO. The record was last updated on Feb 6, 2012.