Embodied Illumination Psychotherapy
Embodied Illumination Psychotherapy is an Addiction (Substance Use Disorder) Counselor in Longmont, Colorado. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
600 S Airport RdLongmont, CO 80503-6424
Phone: (303) 883-6921
Fax: (303) 362-9464
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1598479156 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lyndsey Ryan — Founder · (303) 883-6921 |
| NPI enumerated | January 9, 2023 |
| Last updated in NPPES | January 9, 2023 |
| Certification date | January 9, 2023 |
| Mailing address | 600 S Airport Rd, Longmont, CO 80503-6424 |
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