Individual
LARA MARIE POLCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4601 CORBETT DR, FORT COLLINS, CO 80528-9579
(702) 074-8579
(970) 207-4885
Mailing address
4601 CORBETT DR, FORT COLLINS, CO 80528-9579
(702) 074-8579
(970) 207-4885
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6497
CO
101YP2500X
Professional Counselor
Primary
LPC.0004649
CO
Other
Enumeration date
02/27/2007
Last updated
09/13/2022
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