Individual
AMY MARISSA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCPC, LCAT
Contact information
Practice address
1086 10TH ST, BOULDER, CO 80302-7261
(720) 663-1296
Mailing address
1086 10TH ST, BOULDER, CO 80302-7261
(720) 663-1296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CC7526
ME
101YM0800X
Mental Health Counselor
TPMC1981
FL
101YP2500X
Professional Counselor
Primary
0017549
CO
101YP2500X
Professional Counselor
92195
TX
221700000X
Art Therapist
002488-01
NY
Other
Enumeration date
11/20/2020
Last updated
12/23/2025
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