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Organization
SHOSHANNA K. SHACHTMAN, ED.D, LPC, NCC
Active
Organization
SHOSHANNA K. SHACHTMAN, ED.D, LPC, NCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOSNANNA KOZBERG SHACHTMAN ED.D, LPC, NCC (LICENSED PROFESSIONAL COUNSELOR)
(720) 380-3725
Entity
Organization
Contact information
Practice address
109 CORONADO CT, FORT COLLINS, CO 80525-4929
(720) 380-3725
Mailing address
109 CORONADO CT, FORT COLLINS, CO 80525-4929
(720) 380-3725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0012079
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20131223174
—
CO
Enumeration date
06/27/2016
Last updated
06/27/2016
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