Individual
CHRISTINA LAVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 6TH ST UNIT 2, FREDERICK, CO 80530-5004
(303) 833-0840
(303) 833-9793
Mailing address
PO BOX 520, FREDERICK, CO 80530-0520
(303) 833-0840
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/18/2019
Last updated
12/12/2020
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