Individual provider · Type 1 NPI

Anastasia Dementyeva

Mental Health Counselor · Boulder, CO

NPI number 1235485756 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

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About NPI 1235485756

Anastasia Dementyeva's National Provider Identifier is 1235485756, issued on Aug 2, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Aug 2, 2012.