Individual
JOEL EDWARD CORAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
208 RACQUETTE DR, FORT COLLINS, CO 80524-4851
(970) 806-3128
Mailing address
208 RACQUETTE DR, FORT COLLINS, CO 80524-4851
(970) 806-3128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0016918
CO
101YP2500X
Professional Counselor
LPC.0016918
CO
Other
Enumeration date
01/25/2019
Last updated
09/18/2024
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