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Individual

ANNIE COLEMAN HUMPHREYS

Active
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Individual

ANNIE COLEMAN HUMPHREYS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, CACIII

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0020851
CO
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
0012918
CO

Other

Enumeration date
12/30/2007
Last updated
01/05/2017
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