Individual
AMANDA LEIGH MARKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LAC
Contact information
Practice address
2955 VALMONT RD STE 310, BOULDER, CO 80301-1360
(406) 407-2025
Mailing address
2955 VALMONT RD STE 310, BOULDER, CO 80301-1360
(406) 407-2025
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-65908
MT
101YM0800X
Mental Health Counselor
LPC.0021045
CO
Other
Enumeration date
05/22/2023
Last updated
10/16/2024
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