Individual
LAURIE SCHWIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC II
Contact information
Practice address
2010 EAST BIJOU ST., CANON CITY, CO 81212-9380
(719) 434-2061
Mailing address
2010 E BIJOU ST, COLORADO SPRINGS, CO 80909-5819
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6933
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6933
STATE LICENSE
CO
Enumeration date
04/02/2014
Last updated
10/13/2015
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