Individual
JUSTIN BRENT WALMSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, MFTC
Contact information
Practice address
1790 30TH ST STE 350, BOULDER, CO 80301-1071
(720) 970-7752
Mailing address
1790 30TH ST STE 350, BOULDER, CO 80301-1071
(720) 970-7752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002505
CO
106H00000X
Marriage & Family Therapist
Primary
MFTC.0014400
CO
Other
Enumeration date
01/06/2020
Last updated
10/21/2024
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