Provider Demographics
NPI:1255563557
Name:CARTER, LAUREL (MA, LPC)
Entity type:Individual
Prefix:
First Name:LAUREL
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
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 1:2524 W PLUM ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-3138
Mailing Address - Country:US
Mailing Address - Phone:970-629-2441
Mailing Address - Fax:
Practice Address - Street 1:343 W DRAKE RD STE 232
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-2880
Practice Address - Country:US
Practice Address - Phone:970-629-2441
Practice Address - Fax:970-797-1880
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0011357101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health