Individual
CARSON WIDMER MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5690 DTC BLVD STE 120W, GREENWOOD VILLAGE, CO 80111-3255
(303) 596-8586
Mailing address
10577 TIGERS EYE, LITTLETON, CO 80124-9567
(303) 596-8586
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2205
CO
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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