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Individual

AMANDA BALMORES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LAC, ATR-BC

Contact information

Practice address
229 TERRY ST, LONGMONT, CO 80501-5930
(720) 580-2283
Mailing address
229 TERRY ST, LONGMONT, CO 80501-5930

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0001842
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
304418
MN
101YM0800X
Mental Health Counselor
Primary
0019712
CO
221700000X
Art Therapist
21191

Other

Enumeration date
08/21/2024
Last updated
08/21/2024
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