Provider Demographics
NPI:1710635768
Name:COLORADO CENTER FOR COUPLES AND FAMILIES, PLLC
Entity Type:Organization
Organization Name:COLORADO CENTER FOR COUPLES AND FAMILIES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALESNE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:303-667-2940
Mailing Address - Street 1:1345 W 66TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-2174
Mailing Address - Country:US
Mailing Address - Phone:303-667-2940
Mailing Address - Fax:
Practice Address - Street 1:3600 S YOSEMITE ST STE 1050
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1852
Practice Address - Country:US
Practice Address - Phone:303-682-6900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty