Organization
AUTUMN TREE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLEY COHEN-FOX MSW LCSW CMC (CLINICIAN/OWNER)
(303) 875-2364
Entity
Organization
Contact information
Practice address
2935 BASELINE RD, STE. 302, BOULDER, CO 80303-2366
(303) 875-2364
Mailing address
2935 BASELINE RD, STE. 302, BOULDER, CO 80303-2366
(303) 875-2364
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
727
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54105081
—
CO
Enumeration date
03/21/2017
Last updated
03/21/2017
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