Organization
COALTA THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA MACIAS LCSW (OWNER)
(310) 408-3339
Entity
Organization
Contact information
Practice address
255 CANYON BLVD STE 300E, BOULDER, CO 80302-4979
(303) 569-9250
Mailing address
5670 W 110TH PL, WESTMINSTER, CO 80020-3244
(310) 408-3339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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