Individual
JEREMY KALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC, CPCC
Contact information
Practice address
4673 TALLY HO CT, BOULDER, CO 80301-3864
(720) 420-9094
Mailing address
4673 TALLY HO CT, BOULDER, CO 80301-3864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC14489
CO
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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