Individual
MS. LAURA LOUISE LEBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, CACIII
Contact information
Practice address
2130 MOUNTAIN VIEW AVE, SUITE 101, LONGMONT, CO 80501-3177
(303) 882-4360
Mailing address
PO BOX 283, MEAD, CO 80542-0283
(303) 882-4360
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6750
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6750
CACIII LICENSE #
CO
Enumeration date
03/18/2008
Last updated
04/12/2013
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