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1518738012
RECONSTRUCT PSYCHOTHERAPY, LLC
BOULDER, CO
NPI
1518738012
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Entity Type
Organization
Authorized Contact
CHRISTOPHER J SMALLWOOD
CEO
512-995-8905
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2024-01-12
Last Update Date
2024-02-13
Business Address
RECONSTRUCT PSYCHOTHERAPY, LLC
1495 CANYON BLVD
BOULDER, CO 80302-5367
Phone number: 800-571-5613
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Mailing Address
RECONSTRUCT PSYCHOTHERAPY, LLC
4845 PEARL EAST CIR STE 118 PMB 38489
BOULDER, CO 80301
Phone number:
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