Individual
KELLY GONYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Mailing address
2036 LANGSHIRE DR, FORT COLLINS, CO 80526-1171
(248) 346-6638
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT.0001709
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000177293
—
CO
Enumeration date
08/26/2016
Last updated
08/20/2025
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