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Stephanie Addiss

Counselor, Mental Health in Boulder, CO. Individual provider (NPI-1).

NPI number1982249678
StatusActive
Last updated in NPPESNov 17, 2019

Details

NPI
1982249678
Entity type
Individual (NPI-1)
Name
Stephanie Addiss
Sex
Female
Sole proprietor
No
Enumeration date
Nov 17, 2019
Last updated
Nov 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthLPC.0012081COYes

Practice location

2429 Broadway St
Boulder, CO 80304-4108

Phone 949-241-2220

Mailing address

2429 Broadway St
Boulder, CO 80304-4108

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