Individual
JEREMY HOLBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC, NCC
Contact information
Practice address
737 29TH ST # 200-G, BOULDER, CO 80303-2317
(303) 817-7963
Mailing address
4805 W 81ST PL APT 2G, WESTMINSTER, CO 80031-4363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CO
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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