Individual
AMANDA DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
1320 CARNATION CIR, LONGMONT, CO 80503-7543
(303) 601-5689
Mailing address
PO BOX 411, HYGIENE, CO 80533-0411
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
254950
CO
Other
Enumeration date
07/16/2017
Last updated
07/16/2017
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