Individual
DR. IONE RENEE LAFATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 SPRUCE LAKE DR, DIVIDE, CO 80814-9757
(719) 900-8894
Mailing address
31 SPRUCE LAKE DR, DIVIDE, CO 80814-9757
(719) 900-8894
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
NLC.0111058
CO
103TC1900X
Counseling Psychologist
Primary
NLC.0111058
CO
103TP2701X
Group Psychotherapy Psychologist
NLC.0111058
CO
103TS0200X
School Psychologist
NLC.0111058
CO
106H00000X
Marriage & Family Therapist
IMFT0003
GU
Other
Enumeration date
06/07/2020
Last updated
06/07/2020
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