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1578031852
KEVIN CANNELLA
BOULDER, CO
NPI
1578031852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO LPCC.0016287)
Enumeration Date
2018-11-05
Last Update Date
2018-11-05
Business Address
KEVIN CANNELLA LPCC
3050 BROADWAY ST
BOULDER, CO 80304-3154
Phone number: 410-913-5989
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Mailing Address
KEVIN CANNELLA LPCC
2275 SPRUCE ST
BOULDER, CO 80302-4626
Phone number: 410-913-5989
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