| The Other Road Counseling Pllc | |
|
6640 Gunpark Dr Ste 101 Boulder CO 80301-7001 | |
| (970) 217-2486 | |
| Not Available |
| Full Name | The Other Road Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6640 Gunpark Dr Ste 101, Boulder, Colorado |
| Authorized Official Name and Position | Mallorie Danielle Smolen (OWNER) |
| Authorized Official Contact | 9705731655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Other Road Counseling Pllc 2004 W 15th St Ste 2 Loveland CO 80538-3551 Ph: (720) 446-6549 | The Other Road Counseling Pllc 6640 Gunpark Dr Ste 101 Boulder CO 80301-7001 Ph: (970) 217-2486 |
| NPI Number | 1336873066 |
|---|---|
| Provider Enumeration Date | 07/09/2022 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336873066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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