Organization
WOODSWALK COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME MYERSON MA, LPC, NCC (OWNER AND CLINICAL DIRECTOR)
(720) 288-0033
Entity
Organization
Contact information
Practice address
7985 VANCE DR STE 105, ARVADA, CO 80003-2120
(720) 288-0860
(303) 479-7420
Mailing address
1601 29TH ST UNIT 1292, BOULDER, CO 80301-1010
(720) 288-0860
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336521434
INDIVIDUAL NPI FOR JEROME MYERSON
—
05
—
9000208556
—
CO
Enumeration date
11/03/2021
Last updated
03/19/2024
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