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Individual

DONOVAN SCOTT GOLDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1942 BROADWAY STE 314C, BOULDER, CO 80302-5233
(720) 236-5433
Mailing address
1628 LARCH ST, FORT COLLINS, CO 80526-1015
(720) 236-5433

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0020572
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101YM0800X
CO
Enumeration date
07/22/2019
Last updated
04/24/2024
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