Individual
LARA KATHERINE RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, ATR-P
Contact information
Practice address
4212 PRAIRIE FIRE CIR, LONGMONT, CO 80503-6414
(303) 704-2405
Mailing address
4212 PRAIRIE FIRE CIR, LONGMONT, CO 80503-6414
(303) 704-2405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCC.0019416
CO
221700000X
Art Therapist
Primary
22-333
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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