Individual
MRS. LAUREN CALDWELL GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC I
Contact information
Practice address
975 NORTH ST, BOULDER, CO 80304-3279
(303) 413-6348
Mailing address
975 NORTH ST, BOULDER, CO 80304-3279
(303) 413-6348
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0007527
CO
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/24/2012
Last updated
07/21/2022
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