Individual
MS. HANNAH K. UPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LPC,ATR, HTR
Contact information
Practice address
400 E. SIMPSON ST. UNIT G2, LAFAYETTE, CO 80026
(303) 709-4912
Mailing address
916 CLOVER CIR., LAFAYETTE, CO 80026
(303) 709-4912
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC#5567
CO
101YM0800X
Mental Health Counselor
LPC#5567
CO
101YP2500X
Professional Counselor
LPC#5567
CO
221700000X
Art Therapist
Primary
ATR#08-036
—
221700000X
Art Therapist
—
—
Other
Enumeration date
05/21/2007
Last updated
04/29/2015
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