Individual
LAWRENCE TED ULIBARRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1795 JET WING DR, COLORADO SPRINGS, CO 80916-2332
(719) 572-6100
Mailing address
1795 JET WING DR, COLORADO SPRINGS, CO 80916-2332
(719) 572-6100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ABC0007622
CO
101YP2500X
Professional Counselor
Primary
LPC.0017632
CO
Other
Enumeration date
04/03/2014
Last updated
10/10/2024
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