Intent Revival
Intent Revival is a Clinical Social Worker in Fort Collins, Colorado. Licensed in Colorado. Registered with an NPI since 2018.
- Licensed in
- CO
- In the registry since
- 2018
Practice location Address checks out
1817 Orchard PlFort Collins, CO 80521-3323
Phone: (970) 624-9807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence CSW.09925190 (CO) |
|---|
Record details
| NPI number | 1457851925 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Freyja May — Registered Agent · (970) 624-9807 |
| NPI enumerated | February 20, 2018 |
| Last updated in NPPES | February 20, 2018 |
| Mailing address | 1817 Orchard Pl, Fort Collins, CO 80521-3323 |
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