Individual
KRYSTEL MAIRS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 30TH ST STE 303, BOULDER, CO 80301-1239
(210) 854-7643
Mailing address
106 E BASELINE RD, LAFAYETTE, CO 80026-2403
(210) 854-7643
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
NLC105323
CO
101YP2500X
Professional Counselor
Primary
LPC21435
CO
Other
Enumeration date
08/02/2024
Last updated
03/03/2025
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