Provider Demographics
NPI:1942460472
Name:CAWLEY, RENEE MICHELLE (MSC, LPC)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:MICHELLE
Last Name:CAWLEY
Suffix:
Gender:F
Credentials:MSC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 S WILCOX ST STE E
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-1910
Mailing Address - Country:US
Mailing Address - Phone:909-573-9327
Mailing Address - Fax:
Practice Address - Street 1:121 S WILCOX ST STE E
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-1910
Practice Address - Country:US
Practice Address - Phone:909-573-9327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0012885101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional