Individual
MS. COLLIN TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFA, MA, NCC, LPCC
Contact information
Practice address
2299 PEARL ST, BOULDER, CO 80302-4668
(303) 910-5591
Mailing address
PO BOX 287, LYONS, CO 80540-0287
(303) 579-0329
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0016743
CO
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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