Individual
BRIDGID LUPETIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
1711 YAUPON AVE, BOULDER, CO 80304-4365
(303) 579-6601
Mailing address
1711 YAUPON AVE, BOULDER, CO 80304-4365
(303) 579-6601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0020471
CO
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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