Individual
AMBER GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 E 1ST AVE, BROOMFIELD, CO 80020-2401
(720) 608-7686
Mailing address
2633 E 111TH DR, NORTHGLENN, CO 80233-4643
(303) 641-0310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006321
COLORADO DEPARTMENT OF REGULATORY AGENCY
CO
Enumeration date
02/12/2020
Last updated
07/06/2023
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