Individual
KAREN E. DECLERK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3393 IRIS AVE, SUITE 208, BOULDER, CO 80301-5205
(303) 449-4751
Mailing address
8444 THUNDERHEAD DR, BOULDER, CO 80302-9320
(303) 449-4751
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5007
CO
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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