Individual
GLEN ALAN LACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDC CACTT
Contact information
Practice address
10001 W 32ND AVE, WHEAT RIDGE, CO 80033-5601
(303) 238-1231
(303) 238-0500
Mailing address
10001 W 32ND AVE, WHEAT RIDGE, CO 80033-5601
(303) 238-1231
(303) 238-0500
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
LPC3114
CO
324500000X
Substance Abuse Rehabilitation Facility
CACIII 6152
CO
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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