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Organization
OZ PSYCHOTHERAPY LLC
Active
Organization
OZ PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER STEPHENSON M.A. (OWNER/PROVIDER)
(970) 632-3332
Entity
Organization
Contact information
Practice address
2850 MCCLELLAND DR STE 3000M, FORT COLLINS, CO 80525-5206
(970) 632-3332
(970) 449-7404
Mailing address
2850 MCCLELLAND DR STE 3000M, FORT COLLINS, CO 80525-5206
(970) 632-3332
(970) 449-7404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699050088
—
CO
05
—
9000162221
—
CO
Enumeration date
01/19/2018
Last updated
12/23/2019
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