Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LPC.0006358 | CO |
NPI | 1003149394 |
---|---|
Provider Name | Caroline Catherine Bunn |
First Address | Fort Collins, CO 80525-5540 |
Second Address | Fort Collins, CO 80525-5540 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2009 |
Last Update Date | 16/07/2019 |