Individual
JOHN OULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2945 CENTER GREEN CT STE H, BOULDER, CO 80301-2275
(303) 247-1990
Mailing address
764 SUNSHINE CANYON DR, BOULDER, CO 80302-9727
(303) 247-1990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NLC.0013787
CO
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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