Individual
MR. TIMOTHY ALLPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC III
Contact information
Practice address
100 EAST SOUTH BOULDER ROAD, SUITE 105, LAFAYETTE, CO 80026
(303) 665-7037
(720) 890-7111
Mailing address
100 EAST SOUTH BOULDER ROAD, SUITE 105, LAFAYETTE, CO 80026
(303) 665-7037
(720) 890-7111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3791
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80776230
—
CO
Enumeration date
11/06/2013
Last updated
11/06/2013
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