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Individual

BRIAN BRUCE BOECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
5984 S PRINCE ST STE 203, LITTLETON, CO 80120-2098
(720) 468-0503
Mailing address
5984 S PRINCE ST STE 203, LITTLETON, CO 80120-2098
(720) 468-0503

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6182
CO

Other

Enumeration date
02/12/2021
Last updated
02/12/2021
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