Individual
CHARINA GASTON CORDOVA-VELAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
119 UCB, BOULDER, CO 80309-5001
(303) 492-2277
Mailing address
1300 30TH ST APT D5-12, BOULDER, CO 80303-1753
(303) 875-7803
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT.0000728
CO
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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