Individual
ASHLYN E LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
1125 THREE SPRINGS BLVD, DURANGO, CO 81301-9033
(970) 403-0180
Mailing address
PO BOX 1328, DURANGO, CO 81302-1328
(970) 335-2314
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002197
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09930562
CO
Other
Enumeration date
02/22/2023
Last updated
06/27/2024
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