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Organization

GRAND VALLEY INTEGRATIVE COUNSELING, PLLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY SMITH LAC, LPC (PROFESSIONAL COUNSELOR)
(970) 414-0801
Entity
Organization

Contact information

Practice address
71 BRYAN LOOP, PARACHUTE, CO 81635-7708
(970) 414-0801
Mailing address
71 BRYAN LOOP, PARACHUTE, CO 81635-7708
(970) 414-0801

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
03/08/2024
Last updated
03/16/2026
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