Individual
CAITLIN MILLER MCTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
13 DARTMOUTH CIR, LONGMONT, CO 80503-2209
(240) 626-9911
Mailing address
13 DARTMOUTH CIR, LONGMONT, CO 80503-2209
(240) 626-9911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0002317
CO
101YM0800X
Mental Health Counselor
Primary
00930610
CO
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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