Individual
GAVIN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 38TH ST STE 100E, BOULDER, CO 80301-2624
(720) 204-8586
Mailing address
1750 30TH ST # 151, BOULDER, CO 80301-1029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0022226
CO
Other
Enumeration date
09/30/2024
Last updated
10/07/2024
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