Individual
AMANDA DECKELBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 100 YEARPARTY CT, LONGMONT, CO 80504-8512
(720) 449-6676
Mailing address
720 100 YEARPARTY CT, LONGMONT, CO 80504-8512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CO
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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