Doctor Name: | MR. MICHAEL C JUST |
NPI Number: | 1881613651 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCC |
License Number: | T-0090711 |
Business Practice Address: | 28000 Road T Dolores, CO - 813239203 |
Business Phone Number: | 9708821253 |
Business Fax Number: | 9708821500 |
Mailing Address: | Po Box 726, MANCOS |
State: | CO |
Postal Code: | 813280726 |
Phone Number: | 9707992303 |
Fax Number: | 9708823626 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 10/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | T-0090711 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |