Individual
EMILY SELLEGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2300 CANYON BLVD, BOULDER, CO 80302-5619
(303) 807-4332
Mailing address
1408 KALMIA AVE, BOULDER, CO 80304-1815
(303) 807-4332
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-2783
CO
Other
Enumeration date
05/29/2013
Last updated
05/02/2019
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