Individual
MR. ANDREW SHANE BUNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Mailing address
PO BOX 19761, BOULDER, CO 80308-2761
(303) 449-2743
(303) 449-4044
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2496
CO
Other
Enumeration date
03/12/2007
Last updated
03/21/2017
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