Individual
TARA SUZANNE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
100 ARAPAHOE AVE STE 12, BOULDER, CO 80302-5862
(720) 276-1302
Mailing address
PO BOX 454, NEDERLAND, CO 80466-0454
(720) 276-1302
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LPCC.0015737
CO
Other
Enumeration date
04/21/2019
Last updated
04/21/2019
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