Individual provider · Type 1 NPI
Lisa Jane Gawenus, CAC III
Addiction (Substance Use Disorder) Counselor · Denver, CO
NPI number
1790121085
Active
Practice location
777 Bannock St
Denver, CO 80204-4507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 6162 (CO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1790121085
Lisa Jane Gawenus, CAC III's National Provider Identifier is 1790121085, issued on May 14, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Denver, CO. The record was last updated on May 14, 2013.