Individual
JUDY CAROL INNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
229 TERRY ST, LONGMONT, CO 80501-5930
(303) 437-1351
Mailing address
229 TERRY ST, LONGMONT, CO 80501-5930
(303) 437-1351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0003954
CO
101YP2500X
Professional Counselor
3954
CO
Other
Enumeration date
01/26/2007
Last updated
05/24/2023
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