Individual
JOHN O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2211 CHAMPLAIN DR, BOULDER, CO 80301-5105
(310) 760-1595
Mailing address
2211 CHAMPLAIN DR, BOULDER, CO 80301-5105
(310) 760-1595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/28/2014
Last updated
05/28/2021
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