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Individual

AMANDA HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2060 W 10TH AVE APT 202, BROOMFIELD, CO 80020-6703
(704) 579-1290
Mailing address
2060 W 10TH AVE APT 202, BROOMFIELD, CO 80020-6703
(704) 579-1290

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0017526
CO
101YP2500X
Professional Counselor
LPC.0017526
CO

Other

Enumeration date
10/26/2021
Last updated
11/30/2022
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