Provider First Line Business Practice Location Address:
COUNSELING & PSYCHOLOGICAL SERVICES
Provider Second Line Business Practice Location Address:
UNIVERSITY OF COLORADO 104 UCB
Provider Business Practice Location Address City Name:
BOULDER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80309-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-492-6287
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/08/2014