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Individual

MS. COSETTE LYNN BOON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.; LPC

Contact information

Practice address
726 FRONT ST, SUITE D, LOUISVILLE, CO 80027-1870
(303) 665-2300
Mailing address
726 FRONT ST, SUITE D, LOUISVILLE, CO 80027-1870
(303) 665-2300

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1041
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1041
LPC
CO
01
673663
ANTEM ID
CO
Enumeration date
07/11/2006
Last updated
07/08/2007
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