Individual provider · Type 1 NPI
Callie Gummow, MA, LPC
Professional Counselor · Aurora, CO
NPI number
1134719305
Active
Practice location
1421 S Potomac St
Aurora, CO 80012-4535
Mailing address
1935 Wabash St
Denver, CO 80220-2148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | LPC.0016799 (CO) |
| Professional Counselor Primary | 101YP2500X | LPC.0016799 (CO) |
Professional Counselor: Definition to come...
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About NPI 1134719305
Callie Gummow, MA, LPC's National Provider Identifier is 1134719305, issued on Jan 21, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Aurora, CO. The record was last updated on Jan 21, 2021.