Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LPC.0016365 | CO |
NPI | 1003426925 |
---|---|
Provider Name | Stephanie Robyn Saxe |
First Address | Fort Collins, CO 80524-2689 |
Second Address | Fort Collins, CO 80524-4390 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2020 |
Last Update Date | 05/08/2020 |