Provider Information for 1073283974
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DIANE HEATHER WINN-CLOUSE MA LPC
Sex: Female
NPI: 1073283974
Last Updated: 2021-09-14
Certification Date: 2021-09-14
Certification Date: 2021-09-14
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1073283974 | ||||||||
| Enumeration Date | 2021-09-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5976 DUNRAVEN CT GOLDEN, CO 80403-2041 United States Phone: 970-412-8562 | Fax: | ||||||||
| Primary Practice Address | 2516 CONSTITUTION AVE FORT COLLINS, CO 80526-1610 United States Phone: 970-412-8562 | Fax: | ||||||||
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