Organization
RIKKI OLI CLOS
Active
Organization
RIKKI OLI CLOS
Active
Other names
Mattie Clos, Gender Expansive Teletherapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RIKKI OLI CLOS LCSW (OWNER)
(720) 580-0393
Entity
Organization
Contact information
Practice address
2770 ARAPAHOE RD STE 132, LAFAYETTE, CO 80026-8016
(720) 580-0393
Mailing address
2770 ARAPAHOE ROAD, STE 132 - MAILBOX 700, LAFAYETTE, CO 80026-8016
(720) 580-0393
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000204562
—
CO
Enumeration date
03/29/2022
Last updated
09/23/2022
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