Individual provider · Type 1 NPI

Tina M. Pernosky

Mental Health Counselor · Boulder, CO

NPI number 1316061252 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Mailing address

7418 Singing Hills Dr
Boulder, CO 80301-3768

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1316061252

Tina M. Pernosky's National Provider Identifier is 1316061252, issued on Mar 17, 2007. 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 8, 2007.