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Organization
SOULTERRA COUSNSELING P.L.L.C
Active
Organization
SOULTERRA COUSNSELING P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JANE BOULTON MA LPC (OWNER/PROFESSIONAL COUNSELOR)
(801) 872-8030
Entity
Organization
Contact information
Practice address
1509 FOSTER CT, LONGMONT, CO 80501-6713
(303) 332-1037
Mailing address
1509 FOSTER CT, LONGMONT, CO 80501-6713
(303) 332-1037
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447911201
NPI
CO
Enumeration date
10/06/2023
Last updated
03/14/2024
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