Individual
CASEY K BONIFACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1465 KELLY JOHNSON BLVD # 240, COLORADO SPRINGS, CO 80920-3955
(719) 445-6976
Mailing address
1465 KELLY JOHNSON BLVD # 240, COLORADO SPRINGS, CO 80920-3955
(719) 445-6976
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCC.0022106
CO
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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