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Organization

EMBODIED ILLUMINATION PSYCHOTHERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LYNDSEY NICOLE RYAN LPC, LAC, ACS (FOUNDER)
(303) 883-6921
Entity
Organization

Contact information

Practice address
600 S AIRPORT RD, LONGMONT, CO 80503-6424
(303) 883-6921
(303) 362-9464
Mailing address
600 S AIRPORT RD, LONGMONT, CO 80503-6424
(303) 883-6921
(303) 362-9464

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
01/09/2023
Last updated
01/09/2023
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