Individual
CAREY LAVAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
803 W 4TH ST STE F, PUEBLO, CO 81003-3177
(719) 522-3670
Mailing address
803 W 4TH ST STE F, PUEBLO, CO 81003-3177
(719) 522-3670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 4320
CO
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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