Individual
ANTHONY GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPCC, ADDC
Contact information
Practice address
611 N CASCADE AVE STE 1, COLORADO SPGS, CO 80903-3234
(719) 649-9017
Mailing address
611 N CASCADE AVE STE 1, COLORADO SPGS, CO 80903-3234
(719) 649-9017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
.0021575
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
.0000394
CO
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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