Individual
JAYSON GADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
2825 MARINE ST, SUITE 201, BOULDER, CO 80303-1027
(303) 818-8411
Mailing address
2825 MARINE ST, SUITE 201, BOULDER, CO 80303-1027
(303) 818-8411
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4716
CO
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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