Individual
LACIE KILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT, LAC
Contact information
Practice address
7175 W JEFFERSON AVE STE 1200, LAKEWOOD, CO 80235-2380
(720) 757-1988
Mailing address
2974 W CHENANGO AVE, ENGLEWOOD, CO 80110-6308
(720) 934-8092
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001175
CO
106H00000X
Marriage & Family Therapist
Primary
0001840
CO
Other
Enumeration date
05/23/2016
Last updated
10/07/2020
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