# BOULDER COUNSELING CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669662862
- **Authorized official:** KATHY F JENSEN LCSW (PRESIDENT)
- **Authorized official phone:** (702) 294-2866

## Contact information

- **Practice address:** 916 NEVADA HIGHWAY, SUITE 3, BOULDER CITY, NV 89005
- **Practice address phone:** (702) 294-2866
- **Practice address fax:** (702) 294-3073
- **Mailing address:** 916 NEVADA HIGHWAY, SUITE 3, BOULDER CITY, NV 89005
- **Mailing address phone:** (702) 294-2866
- **Mailing address fax:** (702) 294-3073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 2678 C | NV | Yes |

## Other

- **Enumeration date:** 07/25/2007
- **Last updated:** 08/01/2007
