| Colorado Psychedelic Therapy | |
|
383 W 37th St Ste 201 Loveland CO 80538-2232 | |
| (970) 239-1210 | |
| Not Available |
| Full Name | Colorado Psychedelic Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 383 W 37th St Ste 201, Loveland, Colorado |
| Authorized Official Name and Position | Vance Hansen (OWNER) |
| Authorized Official Contact | 9702391210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Psychedelic Therapy 383 W 37th St Ste 201 Loveland CO 80538-2232 Ph: (970) 239-1210 | Colorado Psychedelic Therapy 383 W 37th St Ste 201 Loveland CO 80538-2232 Ph: (970) 239-1210 |
| NPI Number | 1922702208 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922702208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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