Individual
THERESA M. SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC III
Contact information
Practice address
2557 S DOVER ST, UNIT-69, LAKEWOOD, CO 80227-3149
(303) 436-5706
(303) 436-5071
Mailing address
2557 S DOVER ST, UNIT-69, LAKEWOOD, CO 80227-3149
(303) 436-5706
(303) 436-5071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3077
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
841343242
—
CO
Enumeration date
01/29/2009
Last updated
01/29/2009
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