| Illuminated Path Llc | |
|
305 W South 1st St Johnstown CO 80534-9086 | |
| (970) 231-2681 | |
| Not Available |
| Full Name | Illuminated Path Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 305 W South 1st St, Johnstown, Colorado |
| Authorized Official Name and Position | Christy Kraft (OWNER) |
| Authorized Official Contact | 9703910201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminated Path Llc 567 S Saint Louis Ave Loveland CO 80537-6401 Ph: (970) 391-0201 | Illuminated Path Llc 305 W South 1st St Johnstown CO 80534-9086 Ph: (970) 231-2681 |
| NPI Number | 1093106957 |
|---|---|
| Provider Enumeration Date | 02/13/2015 |
| Last Update Date | 02/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093106957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5634 (Colorado) | Primary |
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