LUCAS BRYANT WALLJASPER

BOULDER, CO
NPI1891414835
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CO  LPCC.0020596)
Enumeration Date2022-08-23
Last Update Date2023-05-23
Business Address
Mr. LUCAS BRYANT WALLJASPER
3320 13TH ST
BOULDER, CO 80304-2206
Phone number: 414-559-6930
Mailing Address
Mr. LUCAS BRYANT WALLJASPER
3320 13TH ST
BOULDER, CO 80304-2206
Phone number: 414-559-6930
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