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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