Provider Demographics
NPI:1124310461
Name:LASER, JULIE ANNE (PHD, LCSW, MSW)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANNE
Last Name:LASER
Suffix:
Gender:F
Credentials:PHD, LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4891 INDEPENDENCE ST STE 165
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6714
Mailing Address - Country:US
Mailing Address - Phone:303-456-0600
Mailing Address - Fax:303-456-0607
Practice Address - Street 1:4891 INDEPENDENCE ST STE 165
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6714
Practice Address - Country:US
Practice Address - Phone:303-456-0600
Practice Address - Fax:303-456-0607
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW-1607101YM0800X
MI6801060455101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health