Individual
ABBIE R CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1250 N WILSON AVE, LOVELAND, CO 80537-4461
(970) 494-9870
(970) 377-0967
Mailing address
125 CRESTRIDGE ST, FORT COLLINS, CO 80525-3934
(970) 494-9761
(970) 377-0967
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACA.0006703
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09923028
CO
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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