Individual
DR. ALTHEA M BAKKE-LYSAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12021 PENNSYLVANIA ST STE 109A, THORNTON, CO 80241-3151
(720) 842-2400
Mailing address
12021 PENNSYLVANIA ST STE 109A, THORNTON, CO 80241-3151
(720) 842-2400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0000273
CO
106H00000X
Marriage & Family Therapist
Primary
2278
CO
Other
Enumeration date
07/13/2020
Last updated
01/05/2024
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