Individual
GENE KLIVANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
2555 MIDPOINT DR, FORT COLLINS, CO 80525-4425
(970) 494-4200
Mailing address
125 CRESTRIDGE ST, FORT COLLINS, CO 80525-3934
(970) 494-4200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0015246
CO
Other
Enumeration date
09/19/2018
Last updated
02/28/2019
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