Individual
AVA HATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10190 BANNOCK ST STE 120, NORTHGLENN, CO 80260-6052
(303) 237-6865
Mailing address
10190 BANNOCK ST STE 120, NORTHGLENN, CO 80260-6052
(303) 237-6865
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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