Individual
LEAH STALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14300 ORCHARD PKWY, WESTMINSTER, CO 80023-9206
(720) 474-3623
Mailing address
3587 NYLAND WAY, LAFAYETTE, CO 80026-8946
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0000828
CO
101YM0800X
Mental Health Counselor
LPC.0013816
CO
Other
Enumeration date
07/14/2017
Last updated
06/06/2023
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