Individual
LAURA BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-6000
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-3600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001820
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09926859
CO
Other
Enumeration date
11/14/2014
Last updated
09/10/2021
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