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Extreme Sports Camp
Counselor in Basalt, Colorado
NPI 1669744637

Extreme Sports Camp is a Counselor based in Basalt, CO. Extreme Sports Camp practices in Basalt, CO. The NPI Number for Extreme Sports Camp is 1669744637 and holds a License No. 1534517 (Colorado).

The current practice location address for Extreme Sports Camp is 23286 Two Rivers Rd, Basalt, CO and can be reached out via phone at 970-927-3143.

Location: 23286 Two Rivers Rd, Basalt, CO, 81621-9285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669744637
Provider Name
Extreme Sports Camp
Credential
Provider Entity Type
Organization
Address
23286 Two Rivers Rd, Basalt, CO, 81621-9285
Phone Number
970-927-3143
Fax Number
Provider Enumeration Date
02/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23286 Two Rivers Rd
City
Basalt
State
Colorado
Zip
81621-9285
Phone Number
970-927-3143
Fax Number
person
Provider Business Mailing Address Details
Address
23286 Two Rivers Rd
City
Basalt
State
Colorado
Zip
81621-9285
Phone Number
970-927-3143
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1534517 (Colorado)
Definition
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.
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