Individual
BRITTANY LEGACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2713 BEECH WAY, LONGMONT, CO 80503-8125
(818) 645-7274
Mailing address
2713 BEECH WAY, LONGMONT, CO 80503-8125
(818) 645-7274
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
84912
TX
101YP2500X
Professional Counselor
LPC.0020501
CO
Other
Enumeration date
05/30/2021
Last updated
04/02/2024
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