Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 590 | CO |
N | 1041C0700X | Clinical Social Worker | 992583 | CO |
NPI | 1003909722 |
---|---|
Provider Name | Ms. Cappi Morgan-Black |
First Address | Littleton, CO 80120 |
Second Address | Littleton, CO 80120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 08/07/2007 |