| Doctor Name: | MARK O'LAUGHLIN |
| NPI Number: | 1508163932 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LPC |
| License Number: | 4090 |
| Business Practice Address: | 1531 Colorado Blvd Clear Creek Community Center Idaho Springs, CO - 804523959 |
| Business Phone Number: | 4132813584 |
| Business Fax Number: | |
| Mailing Address: | 4851 Independence St, WHEAT RIDGE |
| State: | CO |
| Postal Code: | 800336715 |
| Phone Number: | 4132813584 |
| Fax Number: | |
| NPI Enumeration Date: | 02/21/2011 |
| NPI Last Update Date: | 12/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 4090 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |