Individual provider · Type 1 NPI
Carson Whildes, MA, LPC
Mental Health Counselor · Longmont, CO
NPI number
1073252409
Active
Practice location
627 Kimbark St # 1
Longmont, CO 80501-4910
Mailing address
627 Kimbark St. #1
Longmont, CO 80501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1073252409
Carson Whildes, MA, LPC's National Provider Identifier is 1073252409, issued on Jun 2, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longmont, CO. The record was last updated on Jun 2, 2022.