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Organization
UMBRELLA COLLECTIVE INC
Active
Organization
UMBRELLA COLLECTIVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LI BROOKENS LCSW (OWNER)
(720) 663-0163
Entity
Organization
Contact information
Practice address
2919 VALMONT ROAD, STE 104, BOULDER, CO 80301-1350
(720) 663-0163
(303) 658-9871
Mailing address
2919 VALMONT ROAD, STE 104, BOULDER, CO 80301-1350
(720) 663-0163
(303) 658-9871
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09923331
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000166630
—
CO
Enumeration date
06/27/2016
Last updated
11/09/2021
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