Individual
DIANE BARTKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, BC-DMT
Contact information
Practice address
777 POPLAR AVE STE 735, BOULDER, CO 80304-1067
(303) 941-1069
Mailing address
2415 GRAPE AVE, BOULDER, CO 80304-2831
(303) 941-1069
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC1401
CO
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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