Provider Demographics
NPI:1124615893
Name:POLLEMA, LAUREN CASANOVA (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:CASANOVA
Last Name:POLLEMA
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:ELANA
Other - Last Name:WHALEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA,LPC
Mailing Address - Street 1:1810 IRVING ST UNIT 4
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-2067
Mailing Address - Country:US
Mailing Address - Phone:224-374-3609
Mailing Address - Fax:
Practice Address - Street 1:1810 IRVING ST UNIT 4
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2067
Practice Address - Country:US
Practice Address - Phone:224-374-3609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0016791101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health