Individual
KYLE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2625 REDWING RD STE 175, FORT COLLINS, CO 80526-6324
(970) 658-0311
Mailing address
2625 REDWING RD STE 175, FORT COLLINS, CO 80526-6324
(970) 658-0311
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT.0001687
CO
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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