Organization
WELLTALK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY WELLER PSY.D. (OWNER)
(720) 210-9534
Entity
Organization
Contact information
Practice address
2027 11TH ST, BOULDER, CO 80302-5101
(720) 210-9534
Mailing address
2855 ROCK CREEK CIR UNIT 179, SUPERIOR, CO 80027-4616
(415) 254-8781
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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