Individual
CANNA O'CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
650 E. WALNUT, ELIZABETH, CO 80107
(720) 284-4538
Mailing address
5440 FAWN RIDGE WAY, CASTLE ROCK, CO 80104-3357
(720) 284-4538
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0016270
CO
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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