Individual provider · Type 1 NPI

Crystal Paula Fegenbush, MA

Counselor · Boulder, CO

NPI number 1053449520 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Call (303) 443-8500 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLPCC-0014381 (CO)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1053449520

Crystal Paula Fegenbush, MA's National Provider Identifier is 1053449520, issued on Feb 28, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Boulder, CO. The record was last updated on Feb 14, 2017.