Individual
JOHN THORNBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
649 REMINGTON ST, FORT COLLINS, CO 80524-3024
(720) 370-1800
Mailing address
2309 PICADILLY CIR, LONGMONT, CO 80503-4141
(720) 308-1921
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCC.0016690
CO
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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