Individual
SCOTT DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3450 BROADWAY ST, BOULDER, CO 80304-1824
(303) 441-1100
Mailing address
3450 BROADWAY ST, BOULDER, CO 80304-1824
(303) 441-1100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0007227
CO
Other
Enumeration date
06/21/2014
Last updated
06/21/2014
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