Provider Demographics
NPI:1952952764
Name:SINCLAIR, LAUREN BLEU (LPC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:BLEU
Last Name:SINCLAIR
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 1:170 SEMINOLE DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-4227
Mailing Address - Country:US
Mailing Address - Phone:606-368-5458
Mailing Address - Fax:
Practice Address - Street 1:2138 WILLOW BROOK CIR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-6505
Practice Address - Country:US
Practice Address - Phone:607-368-5458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-23
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0013809101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional