Organization
JAMA ELLEN BRISCOE, PH.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMA ELLEN BRISCOE PH.D. (PRESIDENT)
(303) 499-3808
Entity
Organization
Contact information
Practice address
2501 WALNUT ST, SUITE 210, BOULDER, CO 80302-5751
(303) 499-3808
Mailing address
2501 WALNUT ST, SUITE 210, BOULDER, CO 80302-5751
(303) 499-3808
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2348
CO
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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