Organization
CRAZY WISDOM JOURNEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA VELETA FOSTER MAC, LAC, LPC-MHSP (OWNER/PROVIDER)
(303) 515-0987
Entity
Organization
Contact information
Practice address
5921 MIDDLEFIELD RD STE 100, LITTLETON, CO 80123-2860
(303) 515-0987
(720) 726-7745
Mailing address
5921 MIDDLEFIELD RD STE 100, LITTLETON, CO 80123-2860
(303) 515-0987
(720) 726-7745
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497915706
INDIVIDUAL NPI
—
01
—
1689951725
GROUP/ORGANIZATIONAL NPI
—
Enumeration date
11/03/2011
Last updated
07/20/2019
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