Provider Information for 1508163932
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MARK O'LAUGHLIN MA, LPC
Sex: Male
NPI: 1508163932
Last Updated: 2011-12-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1508163932 | ||||||||||||
| Enumeration Date | 2011-02-21 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 4851 INDEPENDENCE ST WHEAT RIDGE, CO 80033-6715 United States Phone: 413-281-3584 | Fax: | ||||||||||||
| Primary Practice Address | 1531 COLORADO BLVD CLEAR CREEK COMMUNITY CENTER IDAHO SPRINGS, CO 80452-3959 United States Phone: 413-281-3584 | Fax: | ||||||||||||
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