institution
Willow Therapy Pllc
Professional Counselor in Woodland Park, Colorado
NPI 1043836687

Willow Therapy Pllc is a Professional Counselor based in Divide, CO and is specialized in Professional. Willow Therapy Pllc practices in Woodland Park, CO. The NPI Number for Willow Therapy Pllc is 1043836687 and holds a License No. (Colorado).

The current practice location address for Willow Therapy Pllc is 509 Scott Ave Ste 2B, Woodland Park, CO and can be reached out via phone at 719-201-8714.

Location: 509 Scott Ave Ste 2B, Woodland Park, CO, 80814-0116
institution
Provider Profile Details
NPI Number
1043836687
Provider Name
Willow Therapy Pllc
Credential
Provider Entity Type
Organization
Address
509 Scott Ave Ste 2B, Woodland Park, CO, 80814-0116
Phone Number
719-201-8714
Fax Number
Provider Enumeration Date
06/19/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPC.0014523 01 CO DORA
institution
Provider Business Practice Location Address Details
Address
509 Scott Ave Ste 2B
City
State
Zip
80863-1294
Phone Number
719-201-8714
Fax Number
person
Provider Business Mailing Address Details
Address
509 Scott Ave Ste 2B
City
State
Zip
80863-1294
Phone Number
719-201-8714
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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