Individual
JULIE ANN MOINICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1500 28TH ST, BOULDER, CO 80303-1002
(720) 810-2355
Mailing address
1500 28TH ST, BOULDER, CO 80303-1002
(720) 810-2355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0017734
CO
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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