Individual
SLOANE CHRISTOPHER COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3200 AIRPORT RD, BOULDER, CO 80301-2226
(303) 748-7873
Mailing address
3200 AIRPORT RD, BOULDER, CO 80301-2226
(303) 748-7873
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
013888
CO
Other
Enumeration date
09/08/2021
Last updated
02/04/2022
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