Individual
MISS AMY CHRISTINE LADEBUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC, BA, NLC
Contact information
Practice address
2596 MOORE ST, LAKEWOOD, CO 80215
(720) 289-0623
Mailing address
2596 MOORE ST, LAKEWOOD, CO 80215-1330
(720) 289-0623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
NLC.0108116
CO
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
08/14/2018
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