Individual
MIGNON AMII HERZLEVESQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HYPNOTHERAPIST
Contact information
Practice address
2072 HIBBARD LN, FOUNTAIN, CO 80817-4607
(719) 726-4002
Mailing address
2072 HIBBARD LN, FOUNTAIN, CO 80817-4607
(719) 726-4002
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
171400000X
Health & Wellness Coach
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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