NPI 1043836687
Willow Therapy PLLC
Practice location
- Address
- 509 Scott Ave STE 2b, Woodland Park, CO 80863-1294
- Phone
- (719) 201-8714
- Mailing address
- PO Box 116, Divide, CO 80814-0116
Authorised official
- Name
- Candice Kaye Berger
- Title
- Owner
- Phone
- (719) 201-8714
Registered specialties
Professional Counselor
Primary
Registry record
- NPI
- 1043836687
- Entity type
- Organization
- NPI issued
- 19 Jun 2020
- Record last updated
- 19 Jun 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.