Individual
TACY RAE LEBARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTC
Contact information
Practice address
8400 E CRESCENT PKWY # 603, GREENWOOD VILLAGE, CO 80111-2831
(720) 370-1800
Mailing address
2555 17TH ST APT 301, DENVER, CO 80211-6459
(385) 239-9105
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MFTC.0013962
CO
Other
Enumeration date
11/08/2019
Last updated
11/12/2019
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