STEPHANIE ADDISS

BOULDER, CO
NPI1982249678
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CO  LPC.0012081)
Enumeration Date2019-11-17
Last Update Date2019-11-17
Business Address
STEPHANIE ADDISS
2429 BROADWAY ST
BOULDER, CO 80304-4108
Phone number: 949-241-2220
Mailing Address
STEPHANIE ADDISS
2429 BROADWAY ST
BOULDER, CO 80304-4108
Phone number: