Individual
ALLISON RENEE HEISTAND-PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1501 YARMOUTH AVE, BOULDER, CO 80304-0564
(303) 786-9314
Mailing address
4901 W 93RD AVE APT 223, WESTMINSTER, CO 80031-6320
(608) 358-6235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0016328
CO
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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