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Individual

THOMAS MIDGLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LAC, LPC

Contact information

Practice address
1800 30TH ST, SUITE 207, BOULDER, CO 80301-1088
(424) 646-3385
Mailing address
1800 30TH ST, SUITE 207, BOULDER, CO 80301-1088
(424) 646-3385

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD0000346
CO
101YP2500X
Professional Counselor
LPC0012761
CO

Other

Enumeration date
03/22/2013
Last updated
02/19/2016
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