Individual provider · Type 1 NPI

Gary Thomas Wareham, LPC

Mental Health Counselor · Thornton, CO

NPI number 1265764591 Active

Practice location

8801 Lipan St
Thornton, CO 80260-4912

Call (303) 412-3625 Map

Fax (303) 657-3727

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X3951 (CO)
Mental Health Counselor Primary 101YM0800X3951 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1265764591

Gary Thomas Wareham, LPC's National Provider Identifier is 1265764591, issued on Feb 11, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Thornton, CO. The record was last updated on Feb 11, 2010.