Individual
KATHLEEN CLARE MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LAC
Contact information
Practice address
2429 BROADWAY ST, BOULDER, CO 80304-4108
(720) 739-6500
Mailing address
2429 BROADWAY ST, BOULDER, CO 80304-4108
(720) 739-6500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD10001721
CO
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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