person
Sandra K Sup, MA,LPC
Professional Counselor in Greeley, Colorado
NPI 1780606145

Sandra K Sup is a Professional Counselor based in Greeley, CO and is specialized in Professional. Sandra K Sup practices in Greeley, CO and has the professional credentials of MA,LPC. The NPI Number for Sandra K Sup is 1780606145 and holds a License No. 638 (Colorado).

The current practice location address for Sandra K Sup is 3211 W 20Th St Ste D, Greeley, CO and can be reached out via phone at 970-353-2000 and via fax at 970-356-4827. You can also correspond with Sandra K Sup through the mailing address at 3211 W 20TH ST STE D, GREELEY, CO - 80634-6566 (mailing address contact number: 970-353-2000).

Location: 3211 W 20Th St Ste D, Greeley, CO, 80634-6566
person
Provider Profile Details
NPI Number
1780606145
Provider Name
Sandra K Sup
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
3211 W 20Th St Ste D, Greeley, CO, 80634-6566
Phone Number
970-353-2000
Fax Number
970-356-4827
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
643342 01 CO BLUE CROSS PROVIDER NO
057772 01 CO VALUE OPTIONS PROVIDER NO
institution
Provider Business Practice Location Address Details
Address
3211 W 20Th St Ste D
City
State
Zip
80634-6566
Phone Number
970-353-2000
Fax Number
970-356-4827
person
Provider Business Mailing Address Details
Address
3211 W 20Th St Ste D
City
State
Zip
80634-6566
Phone Number
970-353-2000
Fax Number
970-356-4827
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
638 (Colorado)
Definition
Definition to come...
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