Healthcare Provider Details

I. General information

NPI: 1669200309
Provider Name (Legal Business Name): CAROLYN ELIZABETH BUECHNER LPC, BCN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARRIE BUECHNER LPC, BCN

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 07/24/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 S BELLAIRE ST STE 710
DENVER CO
80222-4370
US

IV. Provider business mailing address

1720 S BELLAIRE ST STE 710
DENVER CO
80222-4370
US

V. Phone/Fax

Practice location:
  • Phone: 720-232-0834
  • Fax:
Mailing address:
  • Phone: 720-232-0834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number17570
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number17570
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: