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FIND YOUR LIGHT MENTAL WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARISSA DOMINGUEZ LMFT (CLINICAL DIRECTOR)
(970) 203-4051
Entity
Organization

Contact information

Practice address
315 E 4TH ST, LOVELAND, CO 80537-5603
(970) 381-2783
Mailing address
2049 BASALT CT, LOVELAND, CO 80538-5593

Taxonomy

Speciality
Code
Description
License number
State
101200000X
Drama Therapist
101YM0800X
Mental Health Counselor
103TP2701X
Group Psychotherapy Psychologist
106H00000X
Marriage & Family Therapist
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
221700000X
Art Therapist
225A00000X
Music Therapist
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/28/2024
Last updated
10/28/2024
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