Individual
LESIA WORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 IOWA AVE, #4, COLORADO SPRINGS, CO 80909-5930
(719) 358-7338
(844) 273-2340
Mailing address
242 SHADY OAK GRV, COLORADO SPRINGS, CO 80916-1662
(719) 306-8677
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0007973
CO
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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