Individual
MR. TED WYNFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LPCC
Contact information
Practice address
2305 CANYON BLVD STE 101, BOULDER, CO 80302-5651
(970) 528-0433
Mailing address
336 OWL DR, LOUISVILLE, CO 80027-2244
(720) 933-3002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCC-0016225
CO
Other
Enumeration date
01/15/2018
Last updated
12/04/2019
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