Organization
COLORADO PSYCHEDELIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANCE HANSEN MACP, LAC, CCTP (OWNER)
(970) 239-1210
Entity
Organization
Contact information
Practice address
383 W 37TH ST STE 201, LOVELAND, CO 80538-2232
(970) 239-1210
Mailing address
383 W 37TH ST STE 201, LOVELAND, CO 80538-2232
(970) 239-1210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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