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Individual

ANNA O MAYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, R-DMT

Contact information

Practice address
8774 YATES DR STE 305A, WESTMINSTER, CO 80031-6971
(248) 462-4484
Mailing address
5110 WILLIAMS FORK TRL APT 103, BOULDER, CO 80301-3407
(248) 462-4484

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NLC.0106321
CO
225600000X
Dance Therapist
R-DMT-2287

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1B8LR50
CO
Enumeration date
01/29/2018
Last updated
01/29/2018
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