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Individual

CHARLES P. DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
7823 GREENBRIAR CIR, BOULDER, CO 80301-4130
(303) 818-3754
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/16/2007
Last updated
07/09/2019
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