Individual provider · Type 1 NPI

Mira Cantrick

Professional Counselor · Boulder, CO

NPI number 1346880556 Active

Practice location

3005 47th St Ste F1
Boulder, CO 80301-5550

Mailing address

8441 Parkland St # 7-203
Broomfield, CO 80021-4182

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0015460 (CO)

Professional Counselor: Definition to come...

14 other providers at this address

Other professional counselor providers in Boulder

See all in Boulder →

About NPI 1346880556

Mira Cantrick's National Provider Identifier is 1346880556, issued on Jan 15, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boulder, CO. The record was last updated on Jan 15, 2020.