Organization
BOULDER RELATIONSHIP INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE HERBERT BARRETT-PAGE MSW (DIRECTOR)
(303) 413-8343
Entity
Organization
Contact information
Practice address
616 PINE ST, BOULDER, CO 80302-4740
(303) 413-8343
Mailing address
616 PINE ST, BOULDER, CO 80302-4740
(303) 413-8343
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-988106
CO
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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