Individual provider · Type 1 NPI
Calvin Lidmark, LPC, LAC, CCMHC, MAC
Addiction (Substance Use Disorder) Counselor · Fort Carson, CO
NPI number
1700983483
Active
Practice location
1638 Elwell St, Bldg 6236, Rm 229
Fort Carson, CO 80913-4356
Fax (719) 526-1983
Mailing address
1650 Cochrane Cir, Bldg 7505, Rm 163
Fort Carson, CO 80913-4604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 1098 (CO) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | ACD-167 (CO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Fort Carson
- Davina L. Donaldson Hawkins, LMFTAddiction (Substance Use Disorder) Counselor Fort Carson, CO NPI 1134410707
- Andrew Kenneth Hanson, SUDPAddiction (Substance Use Disorder) Counselor Fort Carson, CO NPI 1467925370
- Zarene Dekraai, MA, LPC, CACIIIAddiction (Substance Use Disorder) Counselor Fort Carson, CO NPI 1699741967
- Rosemarie Gerda Hall-Heyduk, LMFT, CAC IIIAddiction (Substance Use Disorder) Counselor Fort Carson, CO NPI 1952374621
About NPI 1700983483
Calvin Lidmark, LPC, LAC, CCMHC, MAC's National Provider Identifier is 1700983483, issued on Sep 17, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Carson, CO. The record was last updated on Sep 3, 2013.