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Individual
LAURA T FETTERS
Active
Individual
LAURA T FETTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC,LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
90
CO
101YP2500X
Professional Counselor
1680
CO
Other
Enumeration date
04/21/2006
Last updated
02/04/2021
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