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Individual

CALLIE GUMMOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
1421 S POTOMAC ST, AURORA, CO 80012-4535
(970) 363-4563
Mailing address
1935 WABASH ST, DENVER, CO 80220-2148
(602) 502-9824

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC.0016799
CO
101YP2500X
Professional Counselor
Primary
LPC.0016799
CO

Other

Enumeration date
01/21/2021
Last updated
01/21/2021
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