Jama Ellen Briscoe, Ph.d., Pllc | |
2501 Walnut St Suite 210 Boulder CO 80302-5751 | |
(303) 499-3808 | |
Not Available |
Full Name | Jama Ellen Briscoe, Ph.d., Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2501 Walnut St, Boulder, Colorado |
Authorized Official Name and Position | Jama Ellen Briscoe (PRESIDENT) |
Authorized Official Contact | 3034993808 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jama Ellen Briscoe, Ph.d., Pllc 2501 Walnut St Suite 210 Boulder CO 80302-5751 Ph: (303) 499-3808 | Jama Ellen Briscoe, Ph.d., Pllc 2501 Walnut St Suite 210 Boulder CO 80302-5751 Ph: (303) 499-3808 |
NPI Number | 1023262532 |
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Provider Enumeration Date | 11/11/2008 |
Last Update Date | 11/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023262532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2348 (Colorado) | Primary |
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