Individual
MS. KATIE FOSSELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
7114 W JEFFERSON AVE, LAKEWOOD, CO 80235-2354
(303) 319-1023
Mailing address
7114 W JEFFERSON AVE STE 306, LAKEWOOD, CO 80235-2373
(970) 310-3406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002211
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09929311
CO
Other
Enumeration date
01/20/2021
Last updated
08/08/2024
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