Provider Demographics
NPI:1609060060
Name:FEBVRE, MARIAN (MED LPC #2909)
Entity Type:Individual
Prefix:MRS
First Name:MARIAN
Middle Name:
Last Name:FEBVRE
Suffix:
Gender:F
Credentials:MED LPC #2909
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1037 ROBERTSON ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524
Mailing Address - Country:US
Mailing Address - Phone:970-493-3833
Mailing Address - Fax:970-493-4333
Practice Address - Street 1:1037 ROBERTSON ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524
Practice Address - Country:US
Practice Address - Phone:970-493-3833
Practice Address - Fax:970-493-4333
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2909101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional