Individual
CAITLIN BOVARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 GARDEN CTR STE 108, BROOMFIELD, CO 80020-1779
(720) 593-0253
Mailing address
80 GARDEN CTR STE 108, BROOMFIELD, CO 80020-1779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0016810
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
I DO NOT HAVE
—
Enumeration date
04/06/2020
Last updated
04/06/2020
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