Individual
TRACEY H LATHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
439 BREEZE ST, STE 200, CRAIG, CO 81625-2650
(970) 824-6541
(970) 824-0313
Mailing address
PO BOX 40, GLENWOOD SPRINGS, CO 81602-0040
(970) 945-2241
(970) 945-5523
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6538
CO
Other
Enumeration date
01/11/2007
Last updated
10/04/2010
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