Jonathan L Fagerholm
Jonathan L Fagerholm is an Addiction (Substance Use Disorder) Counselor in Colorado Springs, Colorado. Practices as a sole proprietor. Licensed in Colorado.
- Licensed in
- CO
- In the registry since
- 2017
Practice location Address checks out
112 Iowa Ave Ste 4Colorado Springs, CO 80909-5947
Phone: (719) 358-7228
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence NLC.0105760 (CO) |
|---|
Record details
| NPI number | 1568975076 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 7, 2017 |
| Last updated in NPPES | November 7, 2017 |
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