Mr. Frederick Elias Persiko, MDIV, CACITI
Mr. Frederick Elias Persiko, MDIV, CACITI is an Addiction (Substance Use Disorder) Counselor in Basalt, Colorado. Licensed in Colorado and Michigan. Registered with an NPI since 2009.
- Licensed in
- CO, MI
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
23400 Two Rivers Rd #49Basalt, CO 81621
Phone: (970) 927-5357
Fax: (970) 927-3467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 6807010854 (MI) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 2810 (CO) |
Record details
| NPI number | 1730320557 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MDIV , CACITI |
| Sole proprietor | No |
| NPI enumerated | March 9, 2009 |
| Last updated in NPPES | March 9, 2009 |
Other providers in Basalt
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Joey Carlson, LAC
1450 E Valley Rd Unit 102, Basalt, CO 81621-8352 · (970) 927-4666
-
Bridget Teal Derkash, LPC, LAC
PO Box 1115, Basalt, CO 81621-1115 · (970) 924-0703
-
Sodawellness
174 Midland Ave, Basalt, CO 81621-8911 · (303) 489-0420