Individual
LYNNE D. WILLBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2095 W 6TH AVE, SUITE 205, BROOMFIELD, CO 80020-1870
(303) 918-0099
Mailing address
2095 W 6TH AVE, SUITE 205, BROOMFIELD, CO 80020-1870
(303) 918-0099
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/10/2011
Last updated
09/10/2011
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