Organization
MY THERAPY PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY SINCLAIR LPCC, LAC (CEO)
(719) 310-9792
Entity
Organization
Contact information
Practice address
11095 MCKISSICK RD, PEYTON, CO 80831-8326
(719) 310-9792
Mailing address
11095 MCKISSICK RD, PEYTON, CO 80831-8326
(719) 310-9792
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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