CALVIN LIDMARK, LPC, LAC, CCMHC, MAC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1700983483
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | No | 1098 (CO) |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | ACD-167 (CO) |
Frequently Asked Questions
NPI 1700983483 is the National Provider Identifier for CALVIN LIDMARK, LPC, LAC, CCMHC, MAC, a Counselor - Addiction (Substance Use Disorder) provider located in Ft Carson, CO. This NPI was enumerated on September 17, 2006.
CALVIN LIDMARK, LPC, LAC, CCMHC, MAC practices at 1638 ELWELL ST, BLDG 6236, RM 229, Ft Carson, CO 80913.
Quick Facts
- NPI
- 1700983483
- Type
- Individual
- Enumerated
- Sep 17, 2006
- Last Updated
- Sep 3, 2013
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