Individual
ANYA R AYLESWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
700 CENTRE AVE, FORT COLLINS, CO 80526-2023
(970) 494-4200
Mailing address
4856 INNOVATION DR STE B, FORT COLLINS, CO 80525-5540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NLC.0109879
CO
Other
Enumeration date
06/27/2018
Last updated
02/05/2020
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