Individual provider · Type 1 NPI

Aviva Naomi Bannerman, LPC

Mental Health Counselor · Boulder, CO

NPI number 1093323347 Active

Practice location

2299PEARLST.
Boulder, CO 80302

Call (970) 673-0846 Map

Mailing address

1166CHERRYVALERD
Boulder, CO 80303

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0016065 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1093323347

Aviva Naomi Bannerman, LPC's National Provider Identifier is 1093323347, issued on Jul 22, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Jul 22, 2020.