Individual provider · Type 1 NPI
Sam Raymond, LPC, LAC
Addiction (Substance Use Disorder) Counselor · Boulder, CO
NPI number
1912389750
Active
Practice location
1333 Iris Ave, Apt 4
Boulder, CO 80304-2226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.0011890 (CO) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | ACD.0000469 (CO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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- Michele Ryan, CACII, CPSIIAddiction (Substance Use Disorder) Counselor Boulder, CO NPI 1134535420
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About NPI 1912389750
Sam Raymond, LPC, LAC's National Provider Identifier is 1912389750, issued on Jun 28, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boulder, CO. The record was last updated on Jul 31, 2017.