Organization
GENESA FALCAO PSYCHOTHERAPY PLLC
Active
Organization
GENESA FALCAO PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENESA FALCAO LPC (LPC)
(301) 221-4472
Entity
Organization
Contact information
Practice address
1800 30TH ST STE 207, BOULDER, CO 80301-1026
(720) 582-3570
Mailing address
4965 TWIN LAKES RD APT 72, BOULDER, CO 80301-3892
(301) 221-4472
(833) 575-7126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0012470
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012470
STATE OF COLORADO
CO
Enumeration date
05/08/2018
Last updated
05/08/2018
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