Individual
MS. ERIN BOYLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
121 HARVARD AVE, PUEBLO, CO 81004-1223
(719) 425-9551
Mailing address
121 HARVARD AVE, PUEBLO, CO 81004-1223
(773) 251-0345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0016368
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1105223
—
CO
Enumeration date
05/21/2021
Last updated
11/03/2021
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