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Organization
WOODSWALK COUNSELING, LLC
Active
Organization
WOODSWALK COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME MYERSON MA, LPC, NCC (OWNER AND CLINICAL DIRECTOR)
(720) 288-0033
Entity
Organization
Contact information
Practice address
7985 VANCE DR STE 105, ARVADA, CO 80003-2120
(720) 288-0860
(303) 479-7420
Mailing address
1601 29TH ST UNIT 1292, BOULDER, CO 80301-1010
(720) 288-0860
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336521434
INDIVIDUAL NPI FOR JEROME MYERSON
—
05
—
9000208556
—
CO
Enumeration date
11/03/2021
Last updated
03/19/2024
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