Organization
SAFE HARBOURS COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTHEA M BAKKE-LYSAKER PHD (OWNER)
(720) 842-2400
Entity
Organization
Contact information
Practice address
12021 PENNSYLVANIA ST STE 109A, THORNTON, CO 80241-3151
(720) 842-2400
Mailing address
12021 PENNSYLVANIA ST STE 109A, THORNTON, CO 80241-3151
(720) 842-2400
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFT.0002278
LICENSE NO
CO
Enumeration date
01/09/2024
Last updated
01/09/2024
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