Individual
MISS CASEY LYN DONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
9900 E ILIFF AVE, DENVER, CO 80231
(303) 636-5600
Mailing address
5559 S SKYLINE DR, EVERGREEN, CO 80439-5417
(850) 803-1607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0012816
CO
Other
Enumeration date
11/06/2012
Last updated
04/18/2019
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