Organization · NPI-2
Aglow Counseling PLLC
Counselor, Mental Health · Longmont, CO
NPI number1821702614
StatusActive
Last updated in NPPESJan 6, 2023
Details
- NPI
- 1821702614
- Entity type
- Organization (NPI-2)
- Legal business name
- Aglow Counseling PLLC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2023
- Certification date
- Jan 6, 2023
- Last updated
- Jan 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2251 Plateau CtLongmont, CO 80503-3919
Phone 763-370-4777
Mailing address
2251 Plateau CtLongmont, CO 80503-3919
Phone 763-370-4777
Authorized official
Stacy M Ruse
Owner
7633704777
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