Individual
CHRISTINE LYNN TIERRAMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4710 TABLE MESA DR, BOULDER, CO 80305-4503
(313) 614-3177
Mailing address
4636 TALBOT DR, BOULDER, CO 80303-2620
(313) 614-3177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0016510
CO
Other
Enumeration date
01/07/2021
Last updated
10/17/2024
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