Individual
AMANDA RAYL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 21ST AVE STE 113, LONGMONT, CO 80501-1441
(720) 537-1786
Mailing address
1208 MACMURRY CT, DACONO, CO 80514-9729
(720) 537-1786
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0008621
CO
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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