Individual
SILAS GRANT HENDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT-C
Contact information
Practice address
1611 GENEVA CIR, LONGMONT, CO 80503-1752
(719) 776-0809
Mailing address
1611 GENEVA CIR, LONGMONT, CO 80503-1752
(719) 776-0809
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTC.0013993
CO
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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