| Boulder Journey Counseling | |
|
5000 Butte St Lot 25 Boulder CO 80301-2236 | |
| (303) 819-7393 | |
| Not Available |
| Full Name | Boulder Journey Counseling |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 5000 Butte St Lot 25, Boulder, Colorado |
| Authorized Official Name and Position | Jean Gehring (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 3038197393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Journey Counseling 5000 Butte St Lot 25 Boulder CO 80301-2236 Ph: () - | Boulder Journey Counseling 5000 Butte St Lot 25 Boulder CO 80301-2236 Ph: (303) 819-7393 |
| NPI Number | 1336653385 |
|---|---|
| Provider Enumeration Date | 11/29/2017 |
| Last Update Date | 11/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336653385 | NPI | - | NPPES |
| 1104194414 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | CSW.1059 (Colorado) | Primary |
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