Organization
AWAKE IN WELLNESS, LLC
Active
Other names
Awake In Wellness Music Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARIE DITTY MM, MT-BC (OPERATING MANAGER)
(303) 349-8918
Entity
Organization
Contact information
Practice address
1430 NELSON RD STE 221, LONGMONT, CO 80501-6399
(720) 340-3869
Mailing address
1430 NELSON RD STE 221, LONGMONT, CO 80501-6399
(203) 403-8697
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
11114
CO
Other
Enumeration date
08/17/2018
Last updated
06/06/2023
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