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Organization
RADICAL HEALING LLC
Active
Organization
RADICAL HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE PIVARUNAS PHD (FOUNDER & DIRECTOR)
(970) 236-6317
Entity
Organization
Contact information
Practice address
300 E HORSETOOTH RD STE 200, FORT COLLINS, CO 80525-3154
(970) 236-6317
Mailing address
300 E HORSETOOTH RD STE 200, FORT COLLINS, CO 80525-3154
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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