| Jama Ellen Briscoe, Ph.d., PLLC | |
|
2501 Walnut St Suite 210 Boulder CO 80302-5751 | |
| (303) 499-3808 | |
| Not Available |
| Full Name | Jama Ellen Briscoe, Ph.d., PLLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2501 Walnut St, Boulder, Colorado |
| Authorized Official Name and Position | Jama Ellen Briscoe (PRESIDENT) |
| Authorized Official Contact | 3034993808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jama Ellen Briscoe, Ph.d., PLLC 2501 Walnut St Suite 210 Boulder CO 80302-5751 Ph: (303) 499-3808 | Jama Ellen Briscoe, Ph.d., PLLC 2501 Walnut St Suite 210 Boulder CO 80302-5751 Ph: (303) 499-3808 |
| NPI Number | 1023262532 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 11/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023262532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2348 (Colorado) | Primary |
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