Provider Demographics
NPI:1598228298
Name:SAWYER, CHARLES HOWARD JR (MA, LPC)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:HOWARD
Last Name:SAWYER
Suffix:JR
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9220 TEDDY LN STE 1000B
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-6756
Mailing Address - Country:US
Mailing Address - Phone:303-229-3348
Mailing Address - Fax:
Practice Address - Street 1:9220 TEDDY LN STE 1000B
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6756
Practice Address - Country:US
Practice Address - Phone:303-229-3348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-09
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5828101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO5828OtherLICENSE