Doctor Name: | MRS. CARROLL L ALLEY |
NPI Number: | 1235482761 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CAC III |
License Number: | 6990 |
Business Practice Address: | 7373 Birch St Commerce City, CO - 800221446 |
Business Phone Number: | 3034123965 |
Business Fax Number: | 3034123342 |
Mailing Address: | 7373 Birch St, COMMERCE CITY |
State: | CO |
Postal Code: | 800221446 |
Phone Number: | 3034123965 |
Fax Number: | 3034123342 |
NPI Enumeration Date: | 10/22/2012 |
NPI Last Update Date: | 10/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 6990 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |