Individual
DR. LAURIE ELAINE FONKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1631 DOGWOOD CT, FORT COLLINS, CO 80525-2022
(970) 988-3894
Mailing address
1631 DOGWOOD CT, FORT COLLINS, CO 80525-2022
(970) 988-3894
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
312
CO
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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