Individual
DYLAN JAMES RIVARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
100 ARAPAHOE AVE, SUITE 8, BOULDER, CO 80302-5854
(720) 633-4311
Mailing address
11648 RANCH ELSIE RD, GOLDEN, CO 80403-7307
(720) 633-4311
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0012732
CO
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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