Individual
MARYANN MARTHA MAGLEY-HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LAC, MAC
Contact information
Practice address
12942 CLARKSON CIR, THORNTON, CO 80241-3979
(720) 323-8128
Mailing address
12942 CLARKSON CIR, THORNTON, CO 80241-3979
(720) 323-8128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0011769
CO
103TA0400X
Addiction (Substance Use Disorder) Psychologist
260
CO
103TC1900X
Counseling Psychologist
Primary
0011769
CO
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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