Organization · Type 2 NPI
The Other Therapy Online, LLC
Professional Counselor · Boulder, CO
NPI number
1063192276
Active
Practice location
1650 38th St Ste 100E
Boulder, CO 80301-2624
Mailing address
53 Cherry Ln
Basalt, CO 81621-9102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1063192276
The Other Therapy Online, LLC's National Provider Identifier is 1063192276, issued on Jul 21, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boulder, CO. The record was last updated on Jul 21, 2023.