Individual
ASHLEY PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC, ATR-P
Contact information
Practice address
420 E 58TH AVE STE 210, DENVER, CO 80216-1400
(720) 854-0262
Mailing address
311 RIVER VIEW CT, LONGMONT, CO 80501-8652
(217) 891-5338
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCC.0017243
CO
221700000X
Art Therapist
ATR-P19-532
CO
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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