Provider Demographics
NPI:1720438492
Name:WARCHOL, LAURIE KIM (LPC)
Entity Type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:KIM
Last Name:WARCHOL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P. O. BOX 767
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80866
Mailing Address - Country:US
Mailing Address - Phone:719-650-1200
Mailing Address - Fax:719-619-2439
Practice Address - Street 1:321 WEST HENRIETTA
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863
Practice Address - Country:US
Practice Address - Phone:719-650-1200
Practice Address - Fax:719-619-2439
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-14
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0011862101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional