Individual
LAUREN CHRISTINE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 S BELLAIRE ST STE 200, DENVER, CO 80222-4314
(307) 509-0642
Mailing address
1416 S NEWPORT ST, DENVER, CO 80224-2018
(704) 962-1123
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002617
CO
101YP2500X
Professional Counselor
LPC.0017546
CO
Other
Enumeration date
10/28/2009
Last updated
11/14/2024
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