Provider Demographics
NPI:1336178490
Name:HARDING, CAMILLE (LPC)
Entity Type:Individual
Prefix:
First Name:CAMILLE
Middle Name:
Last Name:HARDING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CAMILLE
Other - Middle Name:HARDING
Other - Last Name:LUDWIG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:8694 W WARREN DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-2382
Mailing Address - Country:US
Mailing Address - Phone:720-840-7876
Mailing Address - Fax:
Practice Address - Street 1:8694 W WARREN DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-2382
Practice Address - Country:US
Practice Address - Phone:720-840-7876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4168101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional