Organization
EMPOWERING SYSTEMIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN FORREST LPC, LMFT (PARTNER)
(720) 975-7824
Entity
Organization
Contact information
Practice address
11172 HURON ST, SUITE 25-A, NORTHGLENN, CO 80234
(720) 975-7824
Mailing address
702 WEST WILLOW ST., LOUISVILLE, CO 80027
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4857
CO
1041C0700X
Clinical Social Worker
CSW-1686
CO
106H00000X
Marriage & Family Therapist
MFT-865
CO
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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