Individual
KATIE SHIRAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 E PROSPECT RD, FORT COLLINS, CO 80525-1110
(970) 484-1735
Mailing address
921 E PROSPECT RD, FORT COLLINS, CO 80525-1110
(970) 484-1735
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0013355
CO
Other
Enumeration date
01/14/2015
Last updated
10/20/2016
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