Individual
LAURA LANDRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LSW
Contact information
Practice address
409 MAIN ST, FRISCO, CO 80443-5929
(720) 689-5481
Mailing address
225 SMITH RANCH RD, SILVERTHORNE, CO 80498-9270
(720) 689-5481
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0002249
CO
1041C0700X
Clinical Social Worker
LSW.0009924318
CO
Other
Enumeration date
12/09/2022
Last updated
12/21/2023
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