Individual
CAITLIN M MININO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
500 COFFMAN ST STE 204, LONGMONT, CO 80501-5445
(970) 587-3699
Mailing address
3379 SHADBUSH ST, JOHNSTOWN, CO 80534-9142
(303) 579-5277
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001593
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CSW.09926835
CO
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/20/2010
Last updated
03/26/2026
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