Illuminated Path LLC

NPI #1093106957 in Johnstown, Colorado

Provider Information

NPI Number: 1093106957
Entity Type: Organization
Organization Name: Illuminated Path LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Feb 13, 2015
Last Updated: Feb 13, 2015

Practice Location

Address: 305 W SOUTH 1ST ST
City: Johnstown
State: Colorado
ZIP Code: 80534-9086
Phone: (970) 231-2681

Authorized Official

Name: CHRISTY KRAFT
Title: OWNER
Phone: (970) 391-0201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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