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Organization
THE OTHER THERAPY ONLINE, LLC
Active
Organization
THE OTHER THERAPY ONLINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR BROWN (CEO)
(970) 319-7190
Entity
Organization
Contact information
Practice address
1650 38TH ST STE 100E, BOULDER, CO 80301-2624
(970) 319-7190
Mailing address
53 CHERRY LN, BASALT, CO 81621-9102
(970) 319-7190
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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