KEVIN CANNELLA

BOULDER, CO
NPI1578031852
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CO  LPCC.0016287)
Enumeration Date2018-11-05
Last Update Date2018-11-05
Business Address
KEVIN CANNELLA LPCC
3050 BROADWAY ST
BOULDER, CO 80304-3154
Phone number: 410-913-5989
Mailing Address
KEVIN CANNELLA LPCC
2275 SPRUCE ST
BOULDER, CO 80302-4626
Phone number: 410-913-5989