| Judy Innes Psychotherapy | |
|
408 4th Ave Longmont CO 80501-5508 | |
| (303) 437-1351 | |
| Not Available |
| Full Name | Judy Innes Psychotherapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 408 4th Ave, Longmont, Colorado |
| Authorized Official Name and Position | Judith Innes (OWNER) |
| Authorized Official Contact | 3034371351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judy Innes Psychotherapy Po Box 172 Longmont CO 80502-0172 Ph: (303) 437-1351 | Judy Innes Psychotherapy 408 4th Ave Longmont CO 80501-5508 Ph: (303) 437-1351 |
| NPI Number | 1477900934 |
|---|---|
| Provider Enumeration Date | 05/15/2016 |
| Last Update Date | 05/26/2022 |
| Certification Date | 05/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477900934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC0003954 (Colorado) | Primary |
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