Provider Demographics
NPI:1891455887
Name:VOLLMER, LOU ANN (LPCC)
Entity Type:Individual
Prefix:MS
First Name:LOU
Middle Name:ANN
Last Name:VOLLMER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3055 WOODLAND HILLS DR APT 417
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-4664
Mailing Address - Country:US
Mailing Address - Phone:317-442-8285
Mailing Address - Fax:
Practice Address - Street 1:1465 KELLY JOHNSON BLVD STE 350
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3983
Practice Address - Country:US
Practice Address - Phone:719-602-4424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-18
Last Update Date:2021-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0019110101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor