Individual
LISA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 E MAIN ST, #6, TRINIDAD, CO 81082-2708
(719) 859-0213
(719) 846-0424
Mailing address
12700 CR 24.6, TRINIDAD, CO 81082
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
357
CO
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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