Individual
KARINA MARIA TIBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5378 STERLING DR # 1, BOULDER, CO 80301-2351
(720) 315-9282
Mailing address
5378 STERLING DR # 1, BOULDER, CO 80301-2351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0012867
CO
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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