person
Calvin Lidmark, LPC,LAC,CCMHC,MAC
Addiction (Substance Use Disorder) Counselor in Ft Carson, Colorado
NPI 1700983483

Calvin Lidmark is an Addiction (Substance Use Disorder) Counselor based in Ft Carson, CO and is specialized in Addiction (Substance Use Disorder). Calvin Lidmark practices in Ft Carson, CO and has the professional credentials of LPC,LAC,CCMHC,MAC. The NPI Number for Calvin Lidmark is 1700983483 and holds a License No. 1098 (Colorado).

The current practice location address for Calvin Lidmark is 1638 Elwell St, Ft Carson, CO and can be reached out via phone at 719-526-2196 and via fax at 719-526-1983.

Location: 1638 Elwell St, Ft Carson, CO, 80913-4604
person
Provider Profile Details
NPI Number
1700983483
Provider Name
Calvin Lidmark
Credential
LPC,LAC,CCMHC,MAC
Provider Entity Type
Individual
Gender
Male
Address
1638 Elwell St, Ft Carson, CO, 80913-4604
Phone Number
719-526-2196
Fax Number
719-526-1983
Provider Enumeration Date
09/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11703979 01 CO CAQH
institution
Provider Business Practice Location Address Details
Address
1638 Elwell St
City
State
Zip
80913-4356
Phone Number
719-526-2196
Fax Number
719-526-1983
person
Provider Business Mailing Address Details
Address
1638 Elwell St
City
State
Zip
80913-4356
Phone Number
719-526-2196
Fax Number
719-526-1983
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
ACD-167 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1098 (Colorado)
Definition
Definition to come...
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