Individual
LEAH COLLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACP, ACC, CLC
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
O937982
—
CO
Enumeration date
11/06/2016
Last updated
11/07/2016
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