Individual
SUSAN REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1790 30TH ST STE 305, BOULDER, CO 80301-1020
(303) 447-2038
Mailing address
1790 30TH ST STE 305, BOULDER, CO 80301-1020
(303) 447-2038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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