Organization
CANYON BEHAVIORAL HEALTH, LLC
Active
Organization
CANYON BEHAVIORAL HEALTH, LLC
Active
Other names
Colorado Counseling Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PETREA ANN MAH M.A. (MANAGER)
(303) 430-4010
Entity
Organization
Contact information
Practice address
8670 WOLFF COURT, SUITE 130, WESTMINSTER, CO 80031
(303) 430-4010
(303) 430-5406
Mailing address
8670 WOLFF COURT, SUITE 130, WESTMINSTER, CO 80031
(303) 430-4010
(303) 430-5406
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
588
CO
101YP2500X
Professional Counselor
783
CO
103G00000X
Clinical Neuropsychologist
2064
CO
103TC0700X
Clinical Psychologist
1457
CO
103TC0700X
Clinical Psychologist
1930
CO
103TC0700X
Clinical Psychologist
2395
CO
103TC1900X
Counseling Psychologist
1984
CO
103TC1900X
Counseling Psychologist
2335
CO
106H00000X
Marriage & Family Therapist
533
CO
Other
Enumeration date
05/09/2007
Last updated
08/15/2013
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