Individual
JULIA KUCZKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 SEPIA AVE, LONGMONT, CO 80501-7028
(720) 263-0445
Mailing address
1942 BROADWAY STE 314C, BOULDER, CO 80302-5233
(720) 263-0445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18759
CO
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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