Organization
BOULDER ADDICTIONS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MIDGLEY MA, LAC, LPC (CLINICAL DIRECTOR)
(720) 989-4987
Entity
Organization
Contact information
Practice address
1800 30TH ST, SUITE 207, BOULDER, CO 80301-1088
(424) 646-3385
Mailing address
1800 30TH ST, SUITE 207, BOULDER, CO 80301-1088
(424) 646-3385
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
ACD.0000346
CO
251S00000X
Community/Behavioral Health Agency
LPC.0012761
CO
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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