Individual
BRIAN PATRICK CULLINANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LAC, MAC, ATR
Contact information
Practice address
5103 WILLIAMS FORK TRL APT 202, BOULDER, CO 80301-3422
(732) 239-5818
Mailing address
5103 WILLIAMS FORK TRL APT 202, BOULDER, CO 80301-3422
(732) 239-5818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002224
CO
101YM0800X
Mental Health Counselor
Primary
LPC.0019701
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACD.0002224
DEPARTMENT OF REGULATORY AGENCIES
CO
01
—
LPC.0019701
DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
06/18/2019
Last updated
01/19/2024
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