Individual
JOANNA HANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 GAY ST, LONGMONT, CO 80501-1307
(303) 776-1194
Mailing address
2512 DANBURY DR, LONGMONT, CO 80503-1711
(720) 453-9387
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC.0023008
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/15/2024
Last updated
02/05/2025
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