Individual
AHLSA LIGHT WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 N MAIN ST, GUNNISON, CO 81230-2412
(970) 252-3200
(970) 641-2949
Mailing address
710 N MAIN ST, GUNNISON, CO 81230-2412
(970) 252-3200
(970) 641-2949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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