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1922702208
COLORADO PSYCHEDELIC THERAPY
LOVELAND, CO
NPI
1922702208
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Entity Type
Organization
Authorized Contact
VANCE HANSEN
Owner
970-239-1210
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
COLORADO PSYCHEDELIC THERAPY
383 W 37TH ST STE 201
LOVELAND, CO 80538-2232
Phone number: 970-239-1210
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Mailing Address
COLORADO PSYCHEDELIC THERAPY
383 W 37TH ST STE 201
LOVELAND, CO 80538-2232
Phone number: 970-239-1210
Copy
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