Individual
DAVID LAWRENCE STEWART SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, MAC, CAC III
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-8635
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-8635
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
6707
CO
101YM0800X
Mental Health Counselor
6302
CO
101YP2500X
Professional Counselor
6302
CO
Other
Enumeration date
10/28/2008
Last updated
02/11/2021
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