Individual
ALYSSA WEIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC, CAS
Contact information
Practice address
1460 PIERCE ST, LAKEWOOD, CO 80214-1941
(720) 334-7648
Mailing address
1460 PIERCE ST, LAKEWOOD, CO 80214-1941
(720) 334-7648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0015514
CO
101YP2500X
Professional Counselor
LPC.0015514
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC.0015514
LICENSE NUMBER
CO
Enumeration date
07/30/2019
Last updated
02/03/2023
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