Individual
ANN CACACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
443 CO-105, PALMER LAKE, CO 80113
(719) 602-0914
Mailing address
9740 STEELE ST, THORNTON, CO 80229
(646) 483-3504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0001515
CO
1041C0700X
Clinical Social Worker
Primary
09927139
CO
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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