JEREMY ELLIS

BOULDER, CO
NPI1003369430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-08-02
Last Update Date2016-08-02
Business Address
-- JEREMY ELLIS
1501 YARMOUTH AVE
BOULDER, CO 80304-0564
Phone number: 303-786-9314
Mailing Address
-- JEREMY ELLIS
1501 YARMOUTH AVE
BOULDER, CO 80304-0564
Phone number: 303-786-9314
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