Individual
LAURA MCKEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2519 S SHIELDS ST, STE 1K PMB 1093, FORT COLLINS, CO 80526-1855
(970) 759-7095
(970) 360-3543
Mailing address
2519 S SHIELDS ST, STE 1K PMB 1093, FORT COLLINS, CO 80526-1855
(970) 759-7095
(970) 360-3543
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002228
CO
104100000X
Social Worker
0009922632
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09927381
CO
Other
Enumeration date
10/19/2016
Last updated
06/26/2024
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