Individual
NAN E HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PHD(C), LPCC
Contact information
Practice address
1630 SPRUCE ST, BOULDER, CO 80302-4218
(917) 723-4449
Mailing address
1630 SPRUCE ST, BOULDER, CO 80302-4218
(917) 723-4449
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0018948
CO
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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