Individual provider · Type 1 NPI

Randy Lynn Eliot Ganter, M.A.

Mental Health Counselor · Boulder, CO

NPI number 1629125182 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Call (720) 406-3613 Map

Mailing address

1333 Iris
Boulder, CO 80304

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1565 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1629125182

Randy Lynn Eliot Ganter, M.A.'s National Provider Identifier is 1629125182, issued on Jan 5, 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.