Individual
STACY BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
229 TERRY ST, LONGMONT, CO 80501-5930
(303) 956-9147
Mailing address
229 TERRY ST, LONGMONT, CO 80501-5930
(303) 956-9147
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC5838
CO
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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