Individual
ANNA GANOTSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
500 KIMBARK ST STE 200, LONGMONT, CO 80501-5585
(303) 651-1515
(720) 652-0408
Mailing address
500 KIMBARK ST STE 200, LONGMONT, CO 80501-5585
(303) 651-1515
(720) 652-0408
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0019787
CO
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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