Organization
TERRI SQUIRES, LPC, FNP-C, PNP-C, APRN-RX
Active
Other names
INTEGRATIVE PSYCHIATRY SERVICES, LLC; TERRI SQUIRES, LPC, FNP-C, PNP-C
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. TERRI LEIGH SQUIRES LPC, FNP-C, PNP-C, (CEO)
(808) 866-6533
Entity
Organization
Contact information
Practice address
560 MOUNTAIN VILLAGE BLVD # 102A-B, SUITE 102A-B, TELLURIDE, CO 81435-9513
(808) 866-6533
(888) 338-7728
Mailing address
PO BOX 3629, TELLURIDE, CO 81435-3629
(808) 866-6533
(888) 338-7728
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5346
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87485249
—
CO
Enumeration date
02/01/2016
Last updated
02/01/2016
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