Provider Demographics
NPI:1972758050
Name:GARNIER, L ALLISON MICHEL (CAC III)
Entity type:Individual
Prefix:MS
First Name:L ALLISON
Middle Name:MICHEL
Last Name:GARNIER
Suffix:
Gender:F
Credentials:CAC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1083
Mailing Address - Street 2:
Mailing Address - City:CEDAREDGE
Mailing Address - State:CO
Mailing Address - Zip Code:81413-1083
Mailing Address - Country:US
Mailing Address - Phone:970-250-5948
Mailing Address - Fax:
Practice Address - Street 1:407 PALMER ST
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-1737
Practice Address - Country:US
Practice Address - Phone:970-250-5948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5385101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)