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Individual

MS. LAURA ANN ICKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
87 MERCHANT DR, MONTROSE, CO 81401-3015
(970) 252-8896
(970) 240-3095
Mailing address
61055 DAVID RD, OLATHE, CO 81425-9599
(970) 946-4355

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0005232
CO

Other

Enumeration date
07/11/2006
Last updated
02/26/2021
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