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Individual

AMY HEAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
36 OAK STREET, BUENA VISTA, CO 81236
(719) 398-0018
Mailing address
18570 COUNTY ROAD 162, NATHROP, CO 81236-7745
(719) 398-0018

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0006454
CO

Other

Enumeration date
06/11/2015
Last updated
03/15/2022
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