Individual
VIDAN GONTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3855 ORANGE CT, BOULDER, CO 80304-0734
(303) 444-5553
Mailing address
3855 ORANGE CT, BOULDER, CO 80304-0734
(303) 444-5553
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0001091
CO
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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