Organization
ILLUMINATED PATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY KRAFT (OWNER)
(970) 391-0201
Entity
Organization
Contact information
Practice address
305 W SOUTH 1ST ST, JOHNSTOWN, CO 80534-9086
(970) 231-2681
Mailing address
567 S SAINT LOUIS AVE, LOVELAND, CO 80537-6401
(970) 391-0201
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5634
CO
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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