Most Relevant Information
Provider Data
| NPI Number: | 1003352972 |
| Provider Name: | PAIGE MICHAL MARVIN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LPCC.0015922 |
Most Important Dates
| Enumeration Date: | 01/16/2017 |
| Last Updated: | 06/01/2018 |
Provider Practice Location
4051 PINION ST.
COLLBRAN
CO
816240193
Practice Location Phone/Fax
| Phone: | 9704870259 |
| Fax: |
Provider Mailing Location
PO BOX 193
COLLBRAN
CO
816240193
Provider Mailing Phone/Fax
| Phone: | 9704870259 |
| Fax: |