Individual
CHARLOTTE MULLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1781 SOUTHARD ST, ERIE, CO 80516-7500
(704) 649-2317
Mailing address
1781 SOUTHARD ST, ERIE, CO 80516-7500
(720) 526-3556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0017781
CO
101YP2500X
Professional Counselor
LPC.0017781
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000234849
—
CO
Enumeration date
01/25/2022
Last updated
09/30/2024
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