Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 0000952 | CO |
Y | 101YP2500X | Professional Counselor | LPC.0014069 | CO |
N | 103TC1900X | Counseling Psychologist | 0014069 | CO |
NPI | 1053892372 |
---|---|
Provider Name | Micah Lee Romero |
First Address | Englewood, CO 80112-5125 |
Second Address | Littleton, CO 80120-2910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2018 |
Last Update Date | 27/02/2020 |