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Individual

BARBARA JEAN WEGENER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
337 BLUE SPRUCE RD, DIVIDE, CO 80814-7701
(719) 396-4650
(720) 465-2275
Mailing address
337 BLUE SPRUCE RD, DIVIDE, CO 80814-7701
(719) 396-4650
(720) 465-2275

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC 4208
CO
101YP2500X
Professional Counselor
Primary
4208
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770665671
CO
Enumeration date
10/19/2006
Last updated
03/26/2022
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