| Expansive Self Psychotherapy, Llc | |
|
915a 11th St Golden CO 80401-1105 | |
| (720) 575-0977 | |
| Not Available |
| Full Name | Expansive Self Psychotherapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 915a 11th St, Golden, Colorado |
| Authorized Official Name and Position | Camille Brunel (OWNER, THERAPIST) |
| Authorized Official Contact | 7205750977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Expansive Self Psychotherapy, Llc 619 12th St # 523 Golden CO 80401-1108 Ph: (720) 575-0977 | Expansive Self Psychotherapy, Llc 915a 11th St Golden CO 80401-1105 Ph: (720) 575-0977 |
| NPI Number | 1174451876 |
|---|---|
| Provider Enumeration Date | 05/12/2026 |
| Last Update Date | 05/12/2026 |
| Certification Date | 05/12/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174451876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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