Provider Demographics
NPI:1760856686
Name:PEER, SANDY (CACLLL)
Entity Type:Individual
Prefix:MRS
First Name:SANDY
Middle Name:
Last Name:PEER
Suffix:
Gender:F
Credentials:CACLLL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2770 ARAPAHOE RD
Mailing Address - Street 2:132-159
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-8018
Mailing Address - Country:US
Mailing Address - Phone:720-496-6646
Mailing Address - Fax:303-245-0119
Practice Address - Street 1:850 23RD AVE
Practice Address - Street 2:UNIT A
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-1114
Practice Address - Country:US
Practice Address - Phone:303-245-0123
Practice Address - Fax:303-245-0119
Is Sole Proprietor?:No
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0006768101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)