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Individual

COLLEEN SARA RAFFERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
430 WHITEROCK AVE, CRESTED BUTTE, CO 81224
(808) 635-7349
Mailing address
PO BOX 2681, CRESTED BUTTE, CO 81224-2681
(808) 635-7349

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0019274
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0019274
DORA COLORADO
CO
Enumeration date
06/02/2022
Last updated
06/02/2022
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