Organization
MIND MATTERS COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL A. THYE PH.D. (PRESIDENT)
(970) 622-9715
Entity
Organization
Contact information
Practice address
2530 ABARR DR STE 120B, LOVELAND, CO 80538-3170
(970) 622-9715
Mailing address
2530 ABARR DR STE 120B, LOVELAND, CO 80538-3170
(970) 622-9715
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2547
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72152338
—
CO
Enumeration date
08/16/2016
Last updated
08/16/2016
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