Individual
GRACIE R BUENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
3005 47TH ST STE F1, BOULDER, CO 80301-5550
(303) 955-6830
(303) 418-7733
Mailing address
1942 BROADWAY STE 314C, BOULDER, CO 80302-5233
(303) 994-0266
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0018168
CO
Other
Enumeration date
05/05/2022
Last updated
04/21/2025
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