Gary Thomas Wareham, LPC
Counselor, Mental Health in Thornton, CO. Individual provider (NPI-1).
NPI number1265764591
StatusActive
Last updated in NPPESFeb 11, 2010
Details
- NPI
- 1265764591
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gary Thomas Wareham
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2010
- Last updated
- Feb 11, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 3951 | CO | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 3951 | CO |
Practice location
8801 Lipan StThornton, CO 80260-4912
Phone 303-412-3625 · Fax 303-657-3727
Mailing address
8801 Lipan StThornton, CO 80260-4912
Phone 303-412-3625 · Fax 303-657-3727
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