Provider Demographics
NPI:1073030334
Name:FINA, FABIO (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:FABIO
Middle Name:
Last Name:FINA
Suffix:
Gender:M
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5385 GUNBARREL CENTER CT APT 305
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-5803
Mailing Address - Country:US
Mailing Address - Phone:303-582-4893
Mailing Address - Fax:
Practice Address - Street 1:5277 MANHATTAN CIR
Practice Address - Street 2:#210
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303
Practice Address - Country:US
Practice Address - Phone:720-737-3016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-28
Last Update Date:2018-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty