| Doctor Name: | CAROLINA THOMASSON |
| NPI Number: | 1659496354 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, CAC III, NCC |
| License Number: | 5437 |
| Business Practice Address: | 191 East Agate Ave. Granby, CO - 80446 |
| Business Phone Number: | 9704020203 |
| Business Fax Number: | 9708872293 |
| Mailing Address: | 191 East Agate Ave, GRANBY |
| State: | CO |
| Postal Code: | 80446 |
| Phone Number: | 9704020203 |
| Fax Number: | 9708872293 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 10/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 5437 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |