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Organization
PERSONAL MYTH COUNSELING
Active
Organization
PERSONAL MYTH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA IVANNA MARTINEZ LPC (THERAPIST)
(970) 299-9183
Entity
Organization
Contact information
Practice address
8791 WOLFF CT, WESTMINSTER, CO 80031-3600
(970) 299-9183
Mailing address
8791 WOLFF CT, WESTMINSTER, CO 80031-3600
(970) 299-9183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000185988
—
CO
Enumeration date
11/21/2023
Last updated
11/21/2023
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