Individual
CAMILLA B GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CAC III, NCAC II
Contact information
Practice address
4485 WADSWORTH. BLVD, 206, WHEAT RIDGE, CO 80033-3310
(303) 431-5664
(303) 431-6713
Mailing address
2435 KLINE ST, LAKEWOOD, CO 80215-1425
(303) 669-8427
(303) 997-1948
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2085
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2085
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03685039
—
CO
Enumeration date
01/09/2017
Last updated
01/20/2026
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