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Individual

PATRICIA KOREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
14221 E 4TH AVE, 330, AURORA, CO 80011-8735
(720) 207-5041
Mailing address
14221 E 4TH AVE, 330, AURORA, CO 80111-8727
(720) 207-5041

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
181
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
181
LICENSE NUMBER
CO
Enumeration date
06/29/2011
Last updated
08/22/2014
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