Individual
COURTNEY DEWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 443-8500
Mailing address
529 COFFMAN ST, LONGMONT, CO 80501-5450
(847) 913-6050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPCC.0015215
CO
Other
Enumeration date
10/12/2016
Last updated
06/09/2023
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