Individual
ETIRSA GAMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 413-6264
(970) 494-4301
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 413-6264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
11/01/2013
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