Provider Demographics
NPI:1508408360
Name:WESTERSON, CARLEY DANIELLE (LPC)
Entity Type:Individual
Prefix:
First Name:CARLEY
Middle Name:DANIELLE
Last Name:WESTERSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 S PEARL ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5720
Mailing Address - Country:US
Mailing Address - Phone:970-201-4321
Mailing Address - Fax:
Practice Address - Street 1:290 NORTH WILLIAMS STREET
Practice Address - Street 2:ROOM #205
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210
Practice Address - Country:US
Practice Address - Phone:720-923-3033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-14
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO.0015425101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional