Mignon Amii Herzlevesque, HYPNOTHERAPIST

NPI #1033805106 in Fountain, Colorado

Provider Information

NPI Number: 1033805106
Entity Type: Individual
Name: Mignon Amii Herzlevesque, HYPNOTHERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: HYPNOTHERAPIST
Enumeration Date: Apr 12, 2023
Last Updated: Apr 12, 2023

Practice Location

Address: 2072 HIBBARD LN
City: Fountain
State: Colorado
ZIP Code: 80817-4607
Phone: (719) 726-4002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X
Health & Wellness Coach	171400000X
Specialist	174400000X	Primary

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