Individual provider · Type 1 NPI

Kevin Cannella, LPCC

Mental Health Counselor · Boulder, CO

NPI number 1578031852 Active

Practice location

3050 Broadway St
Boulder, CO 80304-3154

Call (410) 913-5989 Map

Mailing address

2275 Spruce St
Boulder, CO 80302-4626

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPCC.0016287 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1578031852

Kevin Cannella, LPCC's National Provider Identifier is 1578031852, issued on Nov 5, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Nov 5, 2018.