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Organization
VIVE LLC
Active
Organization
VIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLOW RUBIN MA LCP MFT (EXECUTIVE DIRECTOR OF CLINICAL SERV)
(303) 449-2516
Entity
Organization
Contact information
Practice address
1150 MAXWELL AVE STE 2ND, BOULDER, CO 80304-4185
(303) 449-2516
Mailing address
1150 MAXWELL AVE STE 2ND, BOULDER, CO 80304-4185
(303) 449-2516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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