LACEY DAWN FIVECOAT

FORT COLLINS, CO
NPI1912524711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CO  0009922986)
Enumeration Date2020-06-29
Last Update Date2020-06-29
Business Address
LACEY DAWN FIVECOAT LSW
320 W OLIVE ST
FORT COLLINS, CO 80521-2716
Phone number: 970-498-0709
Mailing Address
LACEY DAWN FIVECOAT LSW
2705 MEADOWLARK AVE
FORT COLLINS, CO 80526-2835
Phone number: 870-819-6522