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Organization
MARIAN SALLEY LCSW LLC
Active
Organization
MARIAN SALLEY LCSW LLC
Active
Other names
Pheral Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN SALLEY LCSW LAC CGP ACS (OWNER)
(303) 859-2611
Entity
Organization
Contact information
Practice address
2299 PEARL ST STE 400F, BOULDER, CO 80302-4673
(303) 859-2611
Mailing address
4710 HOLIDAY DR UNIT 103, BOULDER, CO 80304-2361
(303) 859-2611
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
11/15/2023
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