Individual
CLARE ROSE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3675 BUCKEYE CT, BOULDER, CO 80304-1513
(707) 230-7582
Mailing address
3675 BUCKEYE CT, BOULDER, CO 80304-1513
(707) 230-7582
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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