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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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