Individual
JUSTIN C BOGARDUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
604 BOW MOUNTAIN RD, BOULDER, CO 80304-0445
(347) 342-8922
Mailing address
604 BOW MOUNTAIN RD, BOULDER, CO 80304-0445
(347) 342-8922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0013818
CO
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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