Carl Baccellieri, M.A., LPC

NPI #1013415538 in Longmont, Colorado

Provider Information

NPI Number: 1013415538
Entity Type: Individual
Name: Carl Baccellieri, M.A., LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: M.A., LPC
Enumeration Date: Jan 30, 2018
Last Updated: Jan 30, 2018

Practice Location

Address: 1245 GAY ST
City: Longmont
State: Colorado
ZIP Code: 80501-3813
Phone: (720) 352-1178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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