Organization
PSYCHHORIZONS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCIA MCCONNELL RANCH L.C.S.W. (PRESIDENT)
(970) 223-0356
Entity
Organization
Contact information
Practice address
375 E HORSETOOTH RD, BUILDING 3, SUITE 201, FORT COLLINS, CO 80525-3155
(970) 223-0356
(970) 204-9767
Mailing address
375 E HORSETOOTH RD, BUILDING 3, SUITE 201, FORT COLLINS, CO 80525-3155
(970) 223-0356
(970) 204-9767
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0001564
CO
1041C0700X
Clinical Social Worker
CSW.00989175
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
636881
—
CO
Enumeration date
09/01/2016
Last updated
09/01/2016
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