Individual
CARROLL GABRIEL CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11059 E BETHANY DR # 80014, AURORA, CO 80014-2622
(303) 808-7358
Mailing address
2610 S HALIFAX ST, AURORA, CO 80013-6261
(303) 808-7358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
052081352
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806295236
—
CO
Enumeration date
11/02/2018
Last updated
11/12/2018
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