Individual
MS. CHARLOTTE MARIE WOLLESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 413-6255
(303) 449-6029
Mailing address
3280 W COUNTY ROAD 8, BERTHOUD, CO 80513-9560
(970) 532-3183
(970) 532-3183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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