Individual
CARL BACCELLIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LPC
Contact information
Practice address
1245 GAY ST, LONGMONT, CO 80501-3813
(720) 352-1178
Mailing address
1245 GAY ST, LONGMONT, CO 80501-3813
(720) 352-1178
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2448
CO
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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