Provider Demographics
NPI:1619578671
Name:HOGZETT, LAURA L (MA LPCC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:L
Last Name:HOGZETT
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 1:26464 GRAND SUMMIT TRL
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-4366
Mailing Address - Country:US
Mailing Address - Phone:303-747-3467
Mailing Address - Fax:
Practice Address - Street 1:26689 PLEASANT PARK ROAD BUILDING A, SUITE 170
Practice Address - Street 2:
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433-8043
Practice Address - Country:US
Practice Address - Phone:303-747-3467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-05
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0017790101YM0800X
COLPC.0018986101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health