person
Jonathan L Fagerholm
Addiction (Substance Use Disorder) Counselor in Colorado Springs, Colorado
NPI 1568975076

Jonathan L Fagerholm is an Addiction (Substance Use Disorder) Counselor based in Colorado Springs, CO and is specialized in Addiction (Substance Use Disorder). Jonathan L Fagerholm practices in Colorado Springs, CO. The NPI Number for Jonathan L Fagerholm is 1568975076 and holds a License No. NLC.0105760 (Colorado).

The current practice location address for Jonathan L Fagerholm is 112 Iowa Ave Ste 4, Colorado Springs, CO and can be reached out via phone at 719-358-7228.

Location: 112 Iowa Ave Ste 4, Colorado Springs, CO, 80909-5947
person
Provider Profile Details
NPI Number
1568975076
Provider Name
Jonathan L Fagerholm
Credential
Provider Entity Type
Individual
Gender
Male
Address
112 Iowa Ave Ste 4, Colorado Springs, CO, 80909-5947
Phone Number
719-358-7228
Fax Number
Provider Enumeration Date
11/07/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
112 Iowa Ave Ste 4
City
State
Zip
80909-5947
Phone Number
719-358-7228
Fax Number
person
Provider Business Mailing Address Details
Address
112 Iowa Ave Ste 4
City
State
Zip
80909-5947
Phone Number
719-358-7228
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
NLC.0105760 (Colorado)
Definition
Definition to come...
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