Individual
JANE C. BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Mailing address
1333 IRIS AVE., BOULDER, CO 80304
(303) 443-8500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2369
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2369
LPC
CO
Enumeration date
01/30/2007
Last updated
07/08/2007
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