| Amy Shull Lpc Lmft | |
|
300 E Horsetooth Rd Ste 200 Fort Collins CO 80525-3154 | |
| (650) 504-0539 | |
| Not Available |
| Full Name | Amy Shull Lpc Lmft |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 E Horsetooth Rd Ste 200, Fort Collins, Colorado |
| Authorized Official Name and Position | Amy Shull (OWNER) |
| Authorized Official Contact | 6505040539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Shull Lpc Lmft 300 E Horsetooth Rd Ste 200 Fort Collins CO 80525-3154 Ph: (650) 504-0539 | Amy Shull Lpc Lmft 300 E Horsetooth Rd Ste 200 Fort Collins CO 80525-3154 Ph: (650) 504-0539 |
| NPI Number | 1164033023 |
|---|---|
| Provider Enumeration Date | 08/13/2020 |
| Last Update Date | 08/13/2020 |
| Certification Date | 08/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164033023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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