Individual provider · Type 1 NPI

Jordan Anthony Yates, LPC, ATR

Professional Counselor · Boulder, CO

NPI number 1063138121 Active

Practice location

6654 Gunpark Dr Ste 200F
Boulder, CO 80301-3384

Call (303) 990-7380 Map

Mailing address

5126 Williams Fork Trl Apt 205
Boulder, CO 80301-6607

Specialties and licenses

TaxonomyCodeLicense
Art Therapist 221700000X22-477 (CO)
Professional Counselor Primary 101YP2500XLPC.0020902 (CO)

Professional Counselor: Definition to come...

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About NPI 1063138121

Jordan Anthony Yates, LPC, ATR's National Provider Identifier is 1063138121, issued on Oct 19, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boulder, CO. The record was last updated on Jul 2, 2024.