Individual
MS. BETH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2455 BROADWAY ST, BOULDER, CO 80304-4108
(303) 426-7988
Mailing address
2455 BROADWAY ST, BOULDER, CO 80304-4108
(303) 426-7988
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
36069
CA
106H00000X
Marriage & Family Therapist
Primary
MFT556
CO
Other
Enumeration date
01/11/2010
Last updated
11/30/2016
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