Organization
BOULDERWISE COUNSELING, LLC
Active
Other names
Boulderwise Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA IOANNIDES MSW, LCSW (LICENSED CLINICAL SOCIAL WORKER)
(720) 319-7319
Entity
Organization
Contact information
Practice address
6017 S JAMESTOWN WAY, CENTENNIAL, CO 80016-6202
(720) 319-7319
(303) 379-4607
Mailing address
6017 S JAMESTOWN WAY, CENTENNIAL, CO 80016-6202
(303) 720-7319
(303) 379-4607
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285639567
PERSONAL NPI
CO
Enumeration date
09/21/2020
Last updated
09/21/2020
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