Individual
DR. JAMES GUY WELLBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
P1703
TN
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY.0005721
CO
Other
Enumeration date
10/10/2006
Last updated
02/08/2022
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