Provider Demographics
NPI:1295184224
Name:LAM, LINDSAY (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:LAM
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18189 E MAINSTREET
Mailing Address - Street 2:11204
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4799
Mailing Address - Country:US
Mailing Address - Phone:715-497-7074
Mailing Address - Fax:
Practice Address - Street 1:18189 E MAINSTREET
Practice Address - Street 2:11204
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4799
Practice Address - Country:US
Practice Address - Phone:715-497-7074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC0014201101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health