Individual
LYDIA CAMIELL GAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PN-25642, ACC-6941
Contact information
Practice address
1620 GAYLORD ST, DENVER, CO 80206-1207
(303) 388-5894
(303) 336-1601
Mailing address
14005 E 54TH AVE, DENVER, CO 80239-4109
(303) 204-3293
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC-6941
CO
164W00000X
Licensed Practical Nurse
Primary
PN-25642
CO
Other
Enumeration date
02/23/2011
Last updated
06/04/2024
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