Individual
HEATHER A LAROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 W ABRIENDO AVE, PUEBLO, CO 81004-1128
(719) 545-2746
(719) 542-9638
Mailing address
41 MONTEBELLO RD STE 204, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
LPC.0016605
CO
106H00000X
Marriage & Family Therapist
Primary
MFT.0001876
CO
Other
Enumeration date
05/03/2018
Last updated
12/09/2020
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