Individual
BETSY DECASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
2027 11TH ST, BOULDER, CO 80302-5101
(303) 442-1533
Mailing address
2027 11TH ST, BOULDER, CO 80302-5101
(303) 442-1533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2970
CO
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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