Individual
MR. JASON BRADLEY GRUHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
268 LEONARDS RD, BOULDER, CO 80302-9780
(720) 308-5945
Mailing address
268 LEONARDS RD, BOULDER, CO 80302-9780
(720) 308-5945
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
NLC.0108621
CO
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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