Individual
MARY DENISE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Mailing address
PO BOX 1002, BOULDER, CO 80306-1002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC 1758
CO
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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