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Organization
NORTH FORK PSYCHOLOGICAL ASSOCIATES
Active
Organization
NORTH FORK PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE SUZANNE HORNING-RIEDER MA, R-DMT, LPC (PSYCHOTHERAPIST)
(970) 234-4863
Entity
Organization
Contact information
Practice address
341 W. BRIDGE ST., HOTCHKISS, CO 81419-9999
(970) 234-4863
(970) 399-7109
Mailing address
PO BOX 1634, PAONIA, CO 81428-1634
(970) 234-4863
(970) 399-7109
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3324
CO
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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