Individual
JANE BIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4770 BASELINE ROAD, SUITE 300, BOULDER, CO 80303
(303) 440-9230
(970) 221-3730
Mailing address
P O BOX 2086, FORT COLLLINS, CO 80522-2086
(303) 444-3443
(970) 221-3730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
989110
CO
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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