Individual
DYLAN BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
215 W OAK ST FL 4, FORT COLLINS, CO 80521-2734
(480) 343-7691
Mailing address
215 W OAK ST FL 4, FORT COLLINS, CO 80521-2734
(480) 343-7691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC.0018144
CO
101YM0800X
Mental Health Counselor
LPCC.0017851
CO
101YP2500X
Professional Counselor
Primary
LPC.0018144
CO
Other
Enumeration date
10/07/2019
Last updated
11/19/2024
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