Individual
AMANDA CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5492 CR 32, LONGMONT, CO 80504
(970) 310-7921
Mailing address
5492 CR 32, LONGMONT, CO 80504
(970) 310-7921
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0016963
CO
Other
Enumeration date
05/01/2018
Last updated
01/22/2023
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