| Whole Human Counseling And Performance, Llc | |
|
792 S Bermont Ave Lafayette CO 80026-1519 | |
| (732) 567-6544 | |
| Not Available |
| Full Name | Whole Human Counseling And Performance, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 792 S Bermont Ave, Lafayette, Colorado |
| Authorized Official Name and Position | Mackenzie Brown (CLINICAL PSYCHOLOGIST, SPORT PSYCH) |
| Authorized Official Contact | 7325676544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Human Counseling And Performance, Llc 792 S Bermont Ave Lafayette CO 80026-1519 Ph: (732) 567-6544 | Whole Human Counseling And Performance, Llc 792 S Bermont Ave Lafayette CO 80026-1519 Ph: (732) 567-6544 |
| NPI Number | 1841875390 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841875390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Secondary |
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