Organization
ALONG YOUR JOURNEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNONELAINE S JOHN (MENTAL HEALTH PROVIDER / OWNER)
(720) 443-0406
Entity
Organization
Contact information
Practice address
423 MAIN ST STE 300, FORT MORGAN, CO 80701-2154
(720) 443-0406
(877) 604-4088
Mailing address
PO BOX 1132, FORT MORGAN, CO 80701-1132
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366880700
—
CO
05
—
1598146862
—
CO
Enumeration date
08/01/2019
Last updated
01/15/2021
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