Individual
LAUREN RENEE MENGWASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, PLPC
Contact information
Practice address
115 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 572-6100
(719) 572-6089
Mailing address
1795 JET WING DR, COLORADO SPRINGS, CO 80916-2332
(719) 572-6100
(719) 572-6089
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0020666
CO
Other
Enumeration date
06/05/2018
Last updated
05/07/2024
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