Individual
HOLLY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 VANCE ST, LAKEWOOD, CO 80214
(303) 467-2624
Mailing address
1410 VANCE ST, SUITE 200, LAKEWOOD, CO 80214-5299
(303) 467-2624
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NLC0104865
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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