Organization
GROWING SELF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BOBBY PHD, LMFT (CLINICAL SUPERVISOR)
(720) 208-6806
Entity
Organization
Contact information
Practice address
100 FILLMORE ST, DENVER, CO 80206-4916
(720) 208-6806
Mailing address
100 FILLMORE ST, DENVER, CO 80206-4916
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0011953
CO
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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