Stephen P Street Pllc

NPI #1407413727 in Greeley, Colorado

Provider Information

NPI Number
1407413727
Entity Type
Organization
Organization Name
Stephen P Street Pllc
Primary Specialty
Counselor - Professional
Enumeration Date
May 22, 2019
Last Updated
May 22, 2019

Practice Location

Address
4657 W. 20TH STREET
Address 2
UNIT B
ZIP Code
80634
Phone
(970) 405-3438

Authorized Official

Name
STEPHEN STREET, LPC CO 0012487
Title
OWNER
Phone
(970) 405-3438

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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