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Organization
OPAL COUNSELING CENTER, LLC
Active
Organization
OPAL COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE MATHON MA, LPC (OWNER)
(720) 507-6725
Entity
Organization
Contact information
Practice address
1480 LEE HILL DR. #7, BOULDER, CO 80304
(720) 507-6725
Mailing address
1480 LEE HILL DR. UNIT 7, BOULDER, CO 80304-0872
(720) 507-6725
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC0014123
CO
101YM0800X
Mental Health Counselor
LPC0014123
CO
101YP2500X
Professional Counselor
Primary
LPC0014123
CO
Other
Enumeration date
11/19/2017
Last updated
03/17/2018
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