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Organization

INTREPID THERAPEUTIC SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE CARLIN LPC, LAC (OWNER/THERAPIST)
(970) 432-8348
Entity
Organization

Contact information

Practice address
300 E HORSETOOTH RD STE 200, FORT COLLINS, CO 80525-3154
(970) 432-8348
Mailing address
805 HEATHER DR, LOVELAND, CO 80537-6738
(607) 221-5704

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
01/21/2020
Last updated
01/21/2020
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